Provider Demographics
NPI:1144263476
Name:HUTCHINS, ROBERT K (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 CEI DRIVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3311
Mailing Address - Country:US
Mailing Address - Phone:513-569-3741
Mailing Address - Fax:513-569-3941
Practice Address - Street 1:3219 CLIFTON AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-3027
Practice Address - Country:US
Practice Address - Phone:513-861-7575
Practice Address - Fax:513-281-2313
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055324207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64864994Medicaid
OH0685692Medicaid
OH180032282OtherRAILROAD MEDICARE
IN100028050Medicaid
IN180034552OtherRAILROAD MEDICARE
000000021223OtherBCBS
CA5388536Medicaid
IN180034552OtherRAILROAD MEDICARE
OH0606627Medicare PIN
OH180032282OtherRAILROAD MEDICARE
OH4162881Medicare PIN
OH0606626Medicare PIN
H78498Medicare UPIN