JEFFREY WADE HUTCHINSON (NPI# 1477545408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477545408 |
| Entity Type | Individual |
| Full Name | JEFFREY WADE HUTCHINSON |
| Credential | M.D. |
| Practice Address |
1101 Camino La Costa Austin TX 78752-3930 |
| Practice Telephone | 5126841832 |
| Mailing Telephone | 5126841832 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
R8914 | TX | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD9244 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 766253 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Nnmc, Adolescent Department, 8901 Wisconsin Ave, Bethesda, MD 208890001 | 3012956168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366721953 | Jeffrey Richard Hutchinson | Audiologist | 1711 S Stephenson Ave, Suite 320, Iron Mountain, MI 49801-3639 | 2011-08-12 |
| 1073604377 | Jeffrey Thomas Hutchinson | Radiology | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-09-28 |
| Street Address |
1101 CAMINO LA COSTA |
| City | AUSTIN |
| State | TX |
| Zip Code | 78752-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509664 | Nicollette Violante | Social Worker | 1101 Camino La Costa, Austin, TX 78752-3930 | 2020-08-21 |
| 1063022556 | Mary Quinn Fassnacht | Student in an Organized Health Care Education/Training Program | 1101 Camino La Costa, Austin, TX 78752-3930 | 2020-08-09 |
| 1801424197 | Genesis Valdes | Dietitian, Registered | 1101 Camino La Costa, Austin, TX 78752-3930 | 2020-03-31 |
| 1285270389 | Rosa Maria Frausto De Maldonado | Nurse Practitioner | 1101 Camino La Costa, Austin, TX 78752-3930 | 2019-11-23 |
| 1144874462 | Sonia Yvette Rocha | Nurse Practitioner | 1101 Camino La Costa, Austin, TX 78752-3930 | 2019-07-25 |
| 1457903221 | Alexandra Vela | Dental Hygienist | 1101 Camino La Costa, Austin, TX 78752 | 2019-07-11 |
| 1225698426 | Denise Martinez-rivas | Social Worker | 1101 Camino La Costa, Austin, TX 78752-3930 | 2019-06-19 |
| 1326517897 | Carrie Alise Torn | Social Worker | 1101 Camino La Costa, Austin, TX 78752-3930 | 2018-11-14 |
| 1558887398 | Ida Caroline Suzanne Trunick | Lactation Consultant, Non-RN | 1101 Camino La Costa, Austin, TX 78752-3930 | 2017-08-14 |
| 1922528090 | Andrew Jones | Family Medicine | 1101 Camino La Costa, Austin, TX 78752-3930 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
| 1043702483 | Amelia Secord | Occupational Therapist | 7701 N Lamar, Suite 314, Austin, TX 78752 | 2018-06-01 |
| 1871082420 | J&w Vision Associates Pllc | Optometrist | 6929 Airport Blvd Ste 165, Austin, TX 78752 | 2018-05-08 |
| 1124539242 | The Refuge for Dmst | Counselor | 300 East Saint Johns Ave., Austin, TX 78752 | 2017-10-16 |
| 1639689441 | Sleep Cycle Center, LLC | Dentist | 7101 Easy Wind Dr Unit 3116, Austin, TX 78752 | 2017-10-06 |
| 1215458997 | Jose De Jesus Garcia-cuellar | Social Worker | 7701 N Lamar Blvd Ste 313, Austin, TX 78752 | 2017-07-03 |
| 1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
| 1043756612 | Tse Transport Services | Non-emergency Medical Transport (VAN) | 7223 Creekside Drive, Austin, TX 78752 | 2017-01-06 |
| 1912442823 | Anesha Roshon Brown-morris | Massage Therapist | 6406 North Ih 35, Suite 2300, Suite 308, Austin, TX 78752 | 2016-12-31 |
| 1831540319 | Eva Dolores Sloan | Counselor | 500 East St. John's Ave, Austin, TX 78752 | 2016-06-27 |
| Find all providers in zip 78752 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716621 | Salina Mostajabian | Pediatrics | 1101 Camino La Costa, Austin, TX 78752 | 2012-07-02 |
| 1508080516 | Austin Children's Clinic, Pa | Pediatrics | 11673 Jollyville Rd, Suite 104, Austin, TX 78759-3933 | 2007-04-12 |
| 1821068347 | Mary Johnson | Pediatrics | 4700 Seton Center Pkwy, 125, Austin, TX 78759-5295 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.