Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01030120A | IN |
N | 207XS0106X | Orthopaedic Hand Surgeon | 01030120A | IN |
N | 2086S0129X | Vascular Surgeon | 01030120 | IN |
NPI | 1154339836 |
---|---|
Provider Name | Dr. Hill Hastings II |
First Address | Indianapolis, IN 46260-2046 |
Second Address | Indianapolis, IN 46260-2046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 24/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000083021 | ANTHEM HEALTH PLAN (01) | |
100144720 | (05) | IN |
3736138002 | CIGNA (01) | |
D94500 | (02) |