Individual provider Active NPI

William Scott Depp-Hutchinson, MD

  • Family Medicine Physician
  • Du Bois, PA
National Provider Identifier
1700819257
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-042489-L Issued in PA
Practice address
5690 Shaffer Rd
Du Bois, PA 15801-3870
Phone
(814) 375-6817
Fax
(814) 375-0922
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-042489-L PA Primary

Addresses

Primary practice location

5690 Shaffer Rd
Du Bois, PA 15801-3870

Mailing address

5690 Shaffer Rd
Du Bois, PA 15801-3870
Phone (814) 375-6817

Other identifiers 2

IdentifierTypeStateIssuer
MD-042489-LOtherPASTATE LISCENCE
MAID 1268290MedicaidPA

Other names 1

  • Dr. William Scott Hutchinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701002859 PA Order and Referring Only - Family PracticePractitioner - Family Practice 0840485603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-042489-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700819257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SHAFFER RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013870",
            "telephone_number": "814-375-6817",
            "fax_number": "814-375-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SHAFFER RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013870",
            "telephone_number": "814-375-6817",
            "fax_number": "814-375-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPP-HUTCHINSON",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-042489-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE",
            "identifier": "MD-042489-L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MAID 1268290",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "HUTCHINSON",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.