Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0000031774 | TN |
N | 208000000X | Pediatrician | MD31774 | TN |
Y | 2080P0203X | Pediatric Critical Care Doctor | MD31774 | TN |
NPI | 1154359008 |
---|---|
Provider Name | Dr. Matthew Richard Hill |
First Address | Cincinnati, OH 45263-0001 |
Second Address | Knoxville, TN 37916-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 19/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3163950 | BLUE CROSS (01) | TN |
3889610 | (05) | TN |
3889615 | (05) | TN |
4153903 | BLUE CROSS (01) | TN |
64011364 | (05) | KY |
G32876 | (02) | TN |