Provider Demographics
NPI:1518146257
Name:HOTCHKISS, SCOTT A (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:HOTCHKISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 S US HIGHWAY 131
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8344
Mailing Address - Country:US
Mailing Address - Phone:231-487-6000
Mailing Address - Fax:231-487-6014
Practice Address - Street 1:1890 S US HIGHWAY 131
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8344
Practice Address - Country:US
Practice Address - Phone:231-487-6000
Practice Address - Fax:231-487-6014
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301044355207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080139849OtherRR MEDICARE
MI4087341Medicaid