Hugo a Tettamanti MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

18235 Issued in NC

Legal business name

HUGO A TETTAMANTI MD PA

Practice address

2928 Maplewood Ave
Winston Salem, NC 27103-4021

Phone

(336) 760-4846

Fax

(336) 760-6462

NPI assigned

Sep 25, 2006

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hugo A Tettamanti, M.D.

Title

Owner

Phone

(336) 760-4846

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1457452583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034021",
            "telephone_number": "336-760-4846",
            "fax_number": "336-760-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034021",
            "telephone_number": "336-760-4846",
            "fax_number": "336-760-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGO A TETTAMANTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "TETTAMANTI",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-4846",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "18235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "011VJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8018",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011VJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas Hughes, MSN, APRN, CPNP-AC
• Michael Stevenson Hughes, M.D.
• Renee Distefano Hughes
• Ryan Thomas Hughes
• Sarah Caitlin Hughes
• Phillip A. Huie, P.A.
• Amy Jo Hulbert, RN
• Harry Turner Hulbert III, PAC
• Megan Peabody Hulen, N.P.
• Alexandra Hull

• Nephrology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.