Justin Hutto (NPI# 1043501133, PAC ID# 6406092162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1043501133 |
| PAC ID by PECOS | 6406092162 |
| Professional Enrollment ID | I20160616000988 |
| Full Name | Justin Hutto |
| Organization Legal Name | WEST JEFFERSON RADIOLOGY LLC |
| Address |
5300 Medford Dr Hoover AL 35244-2108 |
| Phone Number | 2058208452 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7214270255 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010114 | MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM |
| 010033 | UNIVERSITY OF ALABAMA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5300 Medford Dr, Hoover, AL 35244-2108 | 2058208452 | WEST JEFFERSON RADIOLOGY LLC |
| Organization Legal Name | WEST JEFFERSON RADIOLOGY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Kachelhofer | Diagnostic Radiology | West Jefferson Radiology LLC | 995 9th Ave Sw, Bessemer, AL 35022-4527 |
| Street Address |
5300 MEDFORD DR |
| City | HOOVER |
| State | AL |
| Zip | 35244-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Pugliese | Nurse Practitioner | Bessemer Emergency Physicians, LLC. | 5300 Medford Dr, Hoover, AL 35244-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Bullock | Family Practice | 430 Emory Dr, Suite 700, Hoover, AL 35244 | |
| Christine D White | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Mark H Burge | Psychologist, Clinical | Plaza, Suite 115, Hoover, AL 35244 | |
| Lynn S Hammonds | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Bonnie-kim Schwertz | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Victoria H Hines | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Catherine S Amos | Optometry | Eyecare Associates, Inc. | 1809 Data Park Dr, Birmingham, AL 35244 |
| Teresa L Henderson | Physician Assistant | Riverchase Urgent Care | 1924 Montgomery S Hwy, Hoover, AL 35244-1141 |
| Robert E Agee | Family Medicine | 1849 Data Dr, Suite 1, Hoover, AL 35244-1202 | |
| Edwyn L Boyd | Otolaryngology | Hoover Ear, Nose and Throat Associates, P.C. | 2116 Data Park, Birmingham, AL 35244-1203 |
| Find all physicians in zip 35244 | |||
| City | HOOVER |
| Zip Code | 35244 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HOOVER + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.