Organization Active NPI

Andrew D. Hewchuck, D.P.M., Inc.

  • Podiatrist
  • Bishop, CA
National Provider Identifier
1710168547
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3878 Issued in CA
Legal business name
ANDREW D. HEWCHUCK, D.P.M., INC.
Practice address
310 W Line St
Bishop, CA 93514-3413
Phone
(760) 872-1636
NPI assigned
Nov 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Andrew Hewchuck, D.P.M.
Title
President
Phone
(760) 872-1636

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E3878 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

310 W Line St
Bishop, CA 93514-3413

Mailing address

310 W Line St
Bishop, CA 93514-3413
Phone (760) 872-1636

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000E38780MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2012.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1710168547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143413",
            "telephone_number": "760-872-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143413",
            "telephone_number": "760-872-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D. HEWCHUCK, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "HEWCHUCK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-872-1636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.