MEDICARE: MATTHEW G HUTCHINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	35.069252	OH
2	207RI0011X	Interventional Cardiology Physician	35069252	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114926813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW G HUTCHINS MD

Provider Business Mailing Address
First Line	:	7502 STATE RD STE 2210A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-2596
Country	:	US
Telephone Number	:	513-624-2070
Fax Number	:	513-624-2077

Provider Business Practice Location Address
First Line	:	7502 STATE RD STE 2210A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-2596
Country	:	US
Telephone Number	:	513-624-2070
Fax Number	:	513-624-2077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	01/17/2020

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