Robert Nixon Huttinga, PA-C
Individual provider Active NPI Physician Assistant · Lakeview, MI
NPI 1891714879 · NPPES record last updated Mar 4, 2009
Key facts
- NPI
- 1891714879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601001067 (MI)
- Practice address
- 332 S. Lincoln
Lakeview, MI 48850 - Phone
- (989) 352-6500
- Fax
- (989) 352-6273
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601001067 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Visions Quest, Inc. | Physician Assistant | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601001067 | MI | Yes |
Addresses
Primary practice location
332 S. Lincoln
Lakeview, MI 48850
Mailing address
332 S. Lincoln
P.O. Box 514
Lakeview, MI 48850
Phone (989) 352-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1152915130 | Other | MI | BLUE CROSS # FOR GMC |
Other providers in Lakeview, MI
- Sherri Dawn Hart
- Health Visions Quest, Inc.
- William J Heath
- Brandon Earl Holmes
- Debra Ruth House
- Lakeview Dental Associates
- Lakeview Family Chiropractors Inc
- Lakeview Health Center PC
- Juanita Lloyd-Minkus
- Justice Nicole Luttrell
All providers in Lakeview, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.