Provider Demographics
NPI:1891743241
Name:HUTCHISON, PAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:HUTCHISON
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 1:7878 WINCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-2307
Mailing Address - Country:US
Mailing Address - Phone:901-365-3668
Mailing Address - Fax:901-362-7099
Practice Address - Street 1:7878 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-2307
Practice Address - Country:US
Practice Address - Phone:901-365-3668
Practice Address - Fax:901-362-7099
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM475213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1531380Medicaid
TN480021016OtherRAIL ROAD MEDICARE
TN4008710001Medicare NSC
TNU18029Medicare UPIN
TN480021016OtherRAIL ROAD MEDICARE
TN10370G7165Medicare UPIN
TN1531380Medicaid
TN4008710002Medicare NSC
TN3352246Medicare PIN