Peter R Hulick, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

52899-020 Issued in WI

Practice address

4623 75TH St # 338
Kenosha, WI 53142-3707

Phone

(617) 312-9747

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiation Therapy of Winchester, LLC

  • Radiation Oncology Clinic/Center
  • Winchester, MA
  • NPI 1578614459
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1528065448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 TOWER DR UNIT 322",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267810",
            "telephone_number": "617-312-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 75TH ST # 338",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423707",
            "telephone_number": "617-312-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULICK",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101028358",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "015496",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "52899-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna M Huff-Ricchio, PTA
• Terry W Huff, D.D.S.
• Steven D Huffman, M.D.
• Jean Hughes, HIS
• Gretchen Lee Huletz, MS, LPC
• Annette R Hull, MD
• Brenda Yvette Hunter
• Hunters Haven of Kenosha, LLC
• Samantha Huron, DNP, CRNA, APRN
• Joseph Huss, DC, ATC

• Radiation Oncology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Radiation Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; 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.