Provider Demographics
NPI:1952479065
Name:MICHAEL H HOTCHKISS, M.D., P.A.
Entity Type:Organization
Organization Name:MICHAEL H HOTCHKISS, M.D., P.A.
Other - Org Name:HOTCHKISS OBGYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOTCHKISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-374-2560
Mailing Address - Street 1:11350 PEMBROOKE SQ
Mailing Address - Street 2:STE 303
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4809
Mailing Address - Country:US
Mailing Address - Phone:301-374-2560
Mailing Address - Fax:301-374-2564
Practice Address - Street 1:11350 PEMBROOKE SQ
Practice Address - Street 2:STE 303
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4809
Practice Address - Country:US
Practice Address - Phone:301-374-2560
Practice Address - Fax:301-374-2564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB70020Medicare UPIN