Healthcare Provider Details
I. General information
NPI: 1598932774
Provider Name (Legal Business Name): JOHN JAMES HUTCHINGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/15/2008
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2021 PERDIDO ST
NEW ORLEANS LA
70112-1352
US
IV. Provider business mailing address
1542 TULANE AVE BOX T4M-2
NEW ORLEANS LA
70112-2865
US
V. Phone/Fax
- Phone: 504-903-3000
- Fax:
- Phone: 504-568-4493
- Fax: 504-568-2127
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | L#025770 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | L#025770 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: