Active NPI
Kenneth I Hunt, MD
- Gastroenterology Physician
- Aberdeen, WA
National Provider Identifier
1396746905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00012628
- Practice address
- 1006 N H St
Aberdeen, WA 98520-2535 - Phone
- (360) 537-6391
- Fax
- (360) 537-6322
- NPI assigned
- Aug 4, 2005
- Reactivated
- Apr 7, 2006
- Last updated
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00012628 | WA | Primary |
Addresses
Primary practice location
1006 N H St
Aberdeen, WA 98520-2535
Mailing address
1006 N H St
Aberdeen, WA 98520-2535
Phone (360) 537-6391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1163HU | Other | WA | COUNTY INS |
| 0190562 | Other | WA | L&I |
| 1115286 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00012628 | WA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth I Hunt | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Aberdeen, WA
- NPI 1073784146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1396746905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 N H ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202535",
"telephone_number": "360-537-6391",
"fax_number": "360-537-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N H ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202535",
"telephone_number": "360-537-6391",
"fax_number": "360-537-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "KENNETH",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2008-03-17",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00012628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY INS",
"identifier": "1163HU",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0190562",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1115286",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.