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:DEPT 3010, PO BOX 986524
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02298-6524
Mailing Address - Country:US
Mailing Address - Phone:833-924-5546
Mailing Address - Fax:
Practice Address - Street 1:235 PLAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3242
Practice Address - Country:US
Practice Address - Phone:401-861-8830
Practice Address - Fax:401-351-2378
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM00288213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI237169OtherBLUE CROSS
RI401007OtherBLUE CHIP
RI2700509OtherUNITED HEALTH
RI9023716Medicaid
RI480024388OtherRAILROAD MEDICARE
RI10186 2268OtherNEIGHBORHOOD HEALTHCARE
U64721Medicare UPIN
RI489023716Medicare ID - Type Unspecified