Provider Demographics
NPI:1356316376
Name:HUTCHENS, WILLIAM T JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:HUTCHENS
Suffix:JR
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 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:540-536-7087
Mailing Address - Fax:540-536-6625
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2633
Practice Address - Country:US
Practice Address - Phone:410-955-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012348052084A2900X, 207R00000X, 207RC0200X, 207RP1001X
DCMD32458207RC0200X
MDD0074698207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherCIGNA
VA289493OtherANTHEM
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherCORVEL/CORCARE
VA2115910OtherUHC/MAMSI
VAPAROtherVIRGINIA PREMIER HEALTH
NC066JKOtherBC/BS
VAPAROtherVIRGINIA HEALTH NETWORK
VA009999311Medicaid
VA71410OtherSENTARA OPTIMA
NC89066JKMedicaid
VAPAROtherMULTIPLAN
VAPAROtherAETNA
VA-029OtherTRICARE/CHAMPUS
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
NC89066JKMedicaid
VA001889E25Medicare PIN
VA289493OtherANTHEM
VAPAROtherUSA MANAGED CARE