Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | M-2070 | GU |
N | 208600000X | Surgeon | M-2070 | GU |
N | 208200000X | Surgeon | MTL-2017-081 | GU |
N | 208600000X | Surgeon | MTL-2017-081 | GU |
Y | 2086X0206X | Surgical Oncologist | C159418 | CA |
N | 2086X0206X | Surgical Oncologist | M-2070 | GU |
N | 2086X0206X | Surgical Oncologist | ME108579 | FL |
N | 2086X0206X | Surgical Oncologist | MTL-2017-081 | GU |
NPI | 1063497097 |
---|---|
Provider Name | Hank C. Hill |
First Address | Imperial, CA 92251-9805 |
Second Address | El Centro, CA 92243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002974700 | (05) | FL |
003104080A | (05) | GA |
1063497097 | (05) | CA |
14A5Q | BCBS (01) | FL |
1708116 | CIGNA (01) | FL |
341772 | AVMED (01) | FL |
581887 | WELLCARE (01) | FL |
7135401 | AETNA (01) | FL |
H32760 | (02) | FL |
P00889561 | RAILROAD MEDICARE (01) | FL |
P932535 | OPTIMUM (01) | FL |
P988384 | FREEDOM HEALTH (01) | FL |
W13536 | MEDICARE (01) | CA |