Active NPI
Andrew D. Hewchuck, D.P.M., Inc.
- Podiatrist
- Bishop, CA
National Provider Identifier
1710168547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3878
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3878 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E38780 | Medicaid | CA |
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.