Individual provider Active NPI

Harrol Terry Hutchison, MD

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1831155654
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G36024 Issued in CA
Practice address
2335 E Kashian LN Ste 301
Fresno, CA 93701-2234
Phone
(559) 264-9100
Fax
(559) 264-9199
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X G36024 CA
Pediatrics Physician 208000000X G36024 CA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X G36024 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X G36024 CA
Clinical Neurophysiology Physician 2084N0600X G36024 CA
Neurodevelopmental Disabilities Physician 2084P0005X G36024 CA
Neurology Physician 2084N0400X G36024 CA Primary

Addresses

Primary practice location

2335 E Kashian LN Ste 301
Fresno, CA 93701-2234

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Other identifiers 2

IdentifierTypeStateIssuer
6697032OtherCAEDS PIN
00G360240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080313000170 CA Practitioner - NeurologyPractitioner - Pediatric Medicine 4486739539 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Neurology CurrentSince Jul 30, 2009 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 12, 2012 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 12, 2012 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 30, 2009 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 30, 2009 Accepting new patients
University of California San Francisco Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

1001 Potrero Ave
Bldg 1
San Francisco, CA 94110
Phone (628) 206-6182

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

Interoperability endpoints

  • Direct secure messaging: hhutchison17664@valleychildrens-prd.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1831155654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012234",
            "telephone_number": "559-264-9100",
            "fax_number": "559-264-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "HARROL",
        "middle_name": "TERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "G36024",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G36024",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "G36024",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "G36024",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G36024",
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "CA",
            "license": "G36024",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G36024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS PIN",
            "identifier": "6697032",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G360240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.