Active NPI
Peter Russell Hutcheson, M.D.
- Anesthesiology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3826
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-1000
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-119595 | IL | |
| Anesthesiology Physician | 207L00000X | 3826 | WI | Primary |
| Anesthesiology Physician | 207L00000X | 4301104153 | MI |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
608 Kingfish Rd
North Palm Beach, FL 33408-3706
Phone (248) 514-4684
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Other practice location 2
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100262451 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-119595 | IL | MD | Anesthesiology Physician |
| 4301104153 | MI | MD | Anesthesiology Physician |
| 3826 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc | Anesthesiology | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Anesthesiology | Current | Accepting new patients |
| Capital Pathology PC | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Emergency Medical Associates, PLLC | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Anesthesiology | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
8175 Reliable Pkwy
Chicago, IL 60686
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- phutcheson842591@direct.froedtert.com
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Lansing, MI
- NPI 1366498107
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Anesthesiology
-
- Anatomic Pathology & Clinical Pathology Physician
- Lansing, MI
- NPI 1295794717
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1346227626
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1972670875
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1629232558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 KINGFISH RD",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334083706",
"telephone_number": "248-514-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-1000"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 W Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532154330",
"country_code": "US",
"telephone_number": "414-649-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHESON",
"first_name": "PETER",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-119595",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "3826",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301104153",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100262451",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.