Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD21812 | OR |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD21812 | OR |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD21812 | OR |
NPI | 1336146208 |
---|---|
Provider Name | Anthony C Hinz |
First Address | Bend, OR 97701-4281 |
Second Address | Bend, OR 97701-4281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 01/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
134391 | (05) | OR |
G77736 | (02) | |
MD21812 | OBME (01) | OR |