Provider Demographics
NPI:1275642449
Name:HUTCHISON, ROBERT W (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
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 1:1111 12TH ST STE 211
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3001
Mailing Address - Country:US
Mailing Address - Phone:305-396-3360
Mailing Address - Fax:305-396-3361
Practice Address - Street 1:1111 12TH ST STE 211
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3001
Practice Address - Country:US
Practice Address - Phone:305-396-3360
Practice Address - Fax:305-396-3361
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00257000213E00000X
NYN006069213E00000X
FLPO4474213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120357100Medicaid
1140193OtherHORIZON NJ HEALTH
5931465003OtherCIGNA HEALTH PLANS
1K7205OtherHEALTH NET
81428OtherOPERATING ENGINEERS
1400243OtherGHI
33978OtherUNIVERSITY HEALTH PLANS
3964640001OtherHEALTHNOW DMERC
985510OtherAMERIHEALTH PPO
0000207581301OtherUNITED HEALTH CARE
030002570NJ01OtherANTHEM HEALTH
NJ8262004Medicaid
P2203845OtherOXFORD
3964640001OtherHEALTHNOW DMERC
5931465003OtherCIGNA HEALTH PLANS
U80197Medicare UPIN