Organization Active NPI

Robert J Hunter MD Inc

  • Otolaryngology Physician
  • State College, PA
National Provider Identifier
1588749907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD014469E Issued in PA
Legal business name
ROBERT J HUNTER MD INC
Practice address
611 University Dr
State College, PA 16801-6552
Phone
(814) 237-7280
Fax
(814) 234-2490
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Marycz Jr., REP
Title
Rep
Phone
(570) 450-6206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD014469E PA Primary

Addresses

Primary practice location

611 University Dr
State College, PA 16801-6552

Mailing address

PO Box 517
Hazleton, PA 18201-0517
Phone (570) 450-6200

Other identifiers 1

IdentifierTypeStateIssuer
0006051170001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588749907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182010517",
            "telephone_number": "570-450-6200",
            "fax_number": "570-450-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-237-7280",
            "fax_number": "814-234-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J HUNTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARYCZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "REP",
        "authorized_official_telephone_number": "570-450-6206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "REP"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD014469E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006051170001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.