Provider Demographics
NPI:1275618308
Name:HUTCHINS, MATTHEW C (PA)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:C
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 SW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1301
Mailing Address - Country:US
Mailing Address - Phone:785-354-6000
Mailing Address - Fax:785-354-5004
Practice Address - Street 1:1500 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1301
Practice Address - Country:US
Practice Address - Phone:785-354-4740
Practice Address - Fax:785-233-2295
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-00852363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
426775OtherBLUE CROSS BLUE SHIELD KS
KS100423610CMedicaid
KS100423610DMedicaid
KS438913OtherFIRSTGUARD HEALTH PLAN
P66300Medicare UPIN
426775Medicare ID - Type Unspecified
P00152932Medicare ID - Type UnspecifiedRAILROAD MEDICARE
KS100423610DMedicaid