Healthcare Provider Details

I. General information

NPI: 1992779318
Provider Name (Legal Business Name): JOHN ROBERT HOTCHKISS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/20/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PITTSBURGH VA MEDICAL CENTER UNIVERSITY DRIVE C
PITTSBURGH PA
15240-1003
US

IV. Provider business mailing address

PITTSBURGH VA MEDICAL CENTER UNIVERSITY DRIVE C
PITTSBURGH PA
15240-1003
US

V. Phone/Fax

Practice location:
  • Phone: 412-360-6743
  • Fax:
Mailing address:
  • Phone: 412-360-6743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD423820
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: