Basic Information
Provider Information
NPI: 1649626698
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNT
FirstName: CHRISTOPHER
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11100 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441061716
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 36000 EUCLID AVE
Address2:  
City: WILLOUGHBY
State: OH
PostalCode: 440944625
CountryCode: US
TelephoneNumber: 4403500832
FaxNumber: 4405790191
Other Information
ProviderEnumerationDate: 05/09/2016
LastUpdateDate: 04/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X34.014428OHY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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