Active NPI
Nancy Hutnak, D.O.
- Emergency Medicine Physician
- Baker City, OR
National Provider Identifier
1457405359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO17673
- Practice address
- 3325 Pocahontas Rd
Baker City, OR 97814-1464 - Phone
- (541) 523-8105
- Fax
- (541) 523-1738
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO17673 | OR | Primary |
Addresses
Primary practice location
3325 Pocahontas Rd
Baker City, OR 97814-1464
Mailing address
43207 Brown Rd
Baker City, OR 97814-8229
Phone (541) 523-2505
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO17673 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| St. Elizabeth Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Baker City, OR
- NPI 1417089830
-
dba Nep
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457405359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43207 BROWN RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978148229",
"telephone_number": "541-523-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141464",
"telephone_number": "541-523-8105",
"fax_number": "541-523-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTNAK",
"first_name": "NANCY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO17673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.