Provider Demographics
NPI:1356316376
Name:HUTCHENS, WILLIAM T JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:HUTCHENS
Suffix:JR
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 1:1840 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2808
Mailing Address - Country:US
Mailing Address - Phone:540-536-7087
Mailing Address - Fax:540-536-6625
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-536-7087
Practice Address - Fax:540-536-6625
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234805207R00000X, 207RC0200X, 2084A2900X, 207RP1001X
MDD0074698207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2115910OtherUHC/MAMSI
VA71410OtherSENTARA OPTIMA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
NC066JKOtherBC/BS
NC89066JKMedicaid
VAPAROtherAETNA
VA-029OtherTRICARE/CHAMPUS
VAPAROtherVIRGINIA HEALTH NETWORK
VA289493OtherANTHEM
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
VAPAROtherMULTIPLAN
VA009999311Medicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherCIGNA
VAPAROtherCORVEL/CORCARE
NC89066JKMedicaid
VA001889E25Medicare PIN
VA289493OtherANTHEM
VAPAROtherUSA MANAGED CARE