Provider Demographics
NPI:1518089606
Name:HUOTT, THOMAS L (DPM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:HUOTT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-2496
Mailing Address - Country:US
Mailing Address - Phone:401-245-2688
Mailing Address - Fax:401-247-7776
Practice Address - Street 1:282 COUNTY ROAD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-2412
Practice Address - Country:US
Practice Address - Phone:401-245-2688
Practice Address - Fax:401-247-7776
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM0028213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI237169OtherBLUE CROSS
RI480024388OtherRAILROAD MEDICARE
RI9023716Medicaid
RI10186 2268OtherNEIGHBORHOOD HEALTHCARE
RI2700509OtherUNITED HEALTH
RI401007OtherBLUE CHIP
U64721Medicare UPIN
RI489023716Medicare ID - Type Unspecified