Provider Demographics
NPI:1306816111
Name:HUTCHINSON, THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3518
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-3518
Mailing Address - Country:US
Mailing Address - Phone:316-685-6236
Mailing Address - Fax:316-652-0340
Practice Address - Street 1:3601 N WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8129
Practice Address - Country:US
Practice Address - Phone:316-685-6236
Practice Address - Fax:316-652-0340
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-27054207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100362430CMedicaid
KS103451OtherBCBS
KSP00095331OtherRAILROAD MEDICARE
H20352Medicare UPIN
KS100362430CMedicaid