Organization Active NPI

Paul W. Hutchison, D.P.M.

  • Podiatrist
  • Covington, TN
National Provider Identifier
1871991398
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
475 Issued in TN
Legal business name
PAUL W. HUTCHISON, D.P.M.
Practice address
105-D Mueller Brass Road
Covington, TN 38019
Phone
(901) 476-0404
Fax
(901) 476-0465
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Paul Hutchison, D.P.M.
Title
Owner
Phone
(901) 365-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 475 TN Primary

Addresses

Primary practice location

105-D Mueller Brass Road
Covington, TN 38019

Mailing address

105-D Mueller Brass Road
Covington, TN 38019
Phone (901) 476-0404

Other identifiers 1

IdentifierTypeStateIssuer
1531380MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Paul W Hutchison3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1871991398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105-D MUELLER BRASS ROAD",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "38019",
            "telephone_number": "901-476-0404",
            "fax_number": "901-476-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105-D MUELLER BRASS ROAD",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "38019",
            "telephone_number": "901-476-0404",
            "fax_number": "901-476-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W. HUTCHISON, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-365-3668",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531380",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.