Active NPI
Jack Hunt, M.D.
- Family Medicine Physician
- Kalamazoo, MI
National Provider Identifier
1639148489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301022449
- Practice address
- 1820 Shaffer St
Kalamazoo, MI 49048-1656 - Phone
- (269) 381-7136
- Fax
- (269) 381-6665
- NPI assigned
- Mar 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301022449 | MI | Primary |
Addresses
Primary practice location
1820 Shaffer St
Kalamazoo, MI 49048-1656
Mailing address
1820 Shaffer St
Kalamazoo, MI 49048-1656
Phone (269) 381-7136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1087132 | Medicaid | MI | |
| 700C915330 | Other | MI | BLUE CROSS BLUE SHIELD |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1639148489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 SHAFFER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481656",
"telephone_number": "269-381-7136",
"fax_number": "269-381-6665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SHAFFER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481656",
"telephone_number": "269-381-7136",
"fax_number": "269-381-6665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "JACK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301022449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1087132",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "700C915330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.