Theodore John Kutcher II, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

08823 Issued in RI

Practice address

11 Friendship St
Department of Diagnostic Imaging
Newport, RI 02840-2209

Phone

(401) 845-4253

Fax

(401) 848-6008

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Newport Hospital

  • Emergency Medicine Physician
  • Newport, RI
  • NPI 1356441562
  NPD (past)
• Toll Gate Radiology Inc

  • Diagnostic Radiology Physician
  • Warwick, RI
  • NPI 1881604940
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811088388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CEDAR ST",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823930",
            "telephone_number": "401-782-1254",
            "fax_number": "401-782-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FRIENDSHIP ST",
            "address_2": "DEPARTMENT OF DIAGNOSTIC IMAGING",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402209",
            "telephone_number": "401-845-4253",
            "fax_number": "401-848-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTCHER",
        "first_name": "THEODORE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "08823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005421",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barton H Knox, DMD
• Kristen Kochanski, PHD, MSCP
• McKenzie Kolstad
• Pamela Kosseff, MSW
• Archen Krupadev, MD
• Eunkyong Kwon
• Denise Labelle
• Nicole Lagattolla, MS, FSC, LMCH-A
• Julia Flanagan Lamarre
• Richard William Lang III, MD

• Diagnostic Radiology Physician in Newport, RI
• Providers in Newport, RI by specialty
• Diagnostic Radiology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.