Active NPI
Jay Hutsell
- Hearing Instrument Specialist
- Jacksonville, OR
National Provider Identifier
1649429614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-T-10126936
- Practice address
- 675 N 5TH St Ste a
Jacksonville, OR 97530-9659 - Phone
- (541) 899-9194
- Fax
- (541) 899-1519
- NPI assigned
- Sep 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HAS-T-10126936 | OR | Primary |
Addresses
Primary practice location
675 N 5TH St Ste a
Jacksonville, OR 97530-9659
Mailing address
413 S Central Valley Dr
Central Point, OR 97502-1511
Phone (541) 899-9194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212936 | Medicaid | OR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HAS-T-10126936 | OR | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1649429614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 S CENTRAL VALLEY DR",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975021511",
"telephone_number": "541-899-9194",
"fax_number": "541-899-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N 5TH ST STE A",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "975309659",
"telephone_number": "541-899-9194",
"fax_number": "541-899-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTSELL",
"first_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OR",
"license": "HAS-T-10126936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212936",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, OR
- Rebecca Lynne Giudili
- Cathy Haag, RN
- John Stanley Hazeltine, MD
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- Home Health Medical Express, Inc.
- Innovative Health & Wellness LLC 2
- J-Well Pilates Rehab Studio
- Jacksonville Chiropractic Clinic LLC
- Jacksonville Natural Health Pharmacy (Jacksonville Natural Health Pharmacy LLC)
- Jacksonville Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.