Active NPI
Jack R. Hutcheson Jr., M.D.
- Hematology & Oncology Physician
- Roanoke, VA
National Provider Identifier
1952377897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101030873
- Practice address
- 2860 Jefferson St SE
Roanoke, VA 24014-3320 - Phone
- (540) 520-2284
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101030873 | VA | Primary |
Addresses
Primary practice location
2860 Jefferson St SE
Roanoke, VA 24014-3320
Mailing address
2860 Jefferson St SE
Roanoke, VA 24014-3320
Phone (540) 520-2284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5855195 | Medicaid | VA | |
| 830006813 | Other | VA | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101030873 | VA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology and Hematology Associates of Southwest Virginia, Inc. | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Blue Ridge Cancer Care
- Hematology & Oncology Physician
- Roanoke, VA
- NPI 1487621496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1952377897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 JEFFERSON ST SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240143320",
"telephone_number": "540-520-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 JEFFERSON ST SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240143320",
"telephone_number": "540-520-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHESON",
"first_name": "JACK",
"middle_name": "R.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101030873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5855195",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "830006813",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.