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MITCHELL WILLIAM HUSTAD MD NPI 1316407034


NPI Information

NPI: 1316407034
Provider Name: MITCHELL WILLIAM HUSTAD, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1801 NW MARKET ST STE 207
SEATTLE, WA
ZIP 98107
Phone: (206) 320-7288
Get Directions

Mitchell William Hustad, MD is an addiction medicine family medicine in Seattle, WA with 5 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Mitchell William Hustad, MD NPI is 1316407034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1801 NW MARKET ST STE 207
SEATTLE, WA
ZIP 98107-909
Phone: (206) 320-7288
Fax: (206) 320-7289

The NPI 1316407034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 10/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD61190294WASHINGTONNo
2207QA0401XFamily MedicineAddiction MedicineMD61190294WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12165846MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.