RAYMOND E HINES III (NPI# 1265524839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265524839 |
| Entity Type | Individual |
| Full Name | RAYMOND E HINES III |
| Credential | PA-C |
| Practice Address |
19110 Darvin Dr Suite C Mokena IL 60448-8595 |
| Practice Telephone | 7083902290 |
| Practice Fax Number | 7083902299 |
| Mailing Telephone | 7083902290 |
| Mailing Fax Number | 7083902299 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085000929 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | DO9194 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962838839 | Raymond William Hines | Pharmacist | 7191 10th St N, Oakdale, MN 55128-5943 | 2013-09-23 |
| 1265983811 | Raymond Hines IIi | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-10-19 |
| Street Address |
19110 DARVIN DR SUITE C |
| City | MOKENA |
| State | IL |
| Zip Code | 60448-8595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697775 | Augusto R Chavez | Psychiatry & Neurology | 19110 Darvin Dr, Suite C, Mokena, IL 60448-8595 | 2005-11-28 |
| 1871528778 | Alexander Ethan Feller | Anesthesiology | 19110 Darvin Dr, Mokena, IL 60448-8595 | 2006-07-11 |
| 1669403325 | Md2x S.c. | Anesthesiology | 19110 Darvin Dr, Mokena, IL 60448-8595 | 2006-07-05 |
| 1144205600 | Midwest Minimally Invasive Spine Specialists Sc | Neurological Surgery | 19110 Darvin Dr, Suite C, Mokena, IL 60448-8595 | 2005-12-07 |
| 1144204504 | Patrick J Sweeney | Orthopaedic Surgery | 19110 Darvin Dr, Ste C, Mokena, IL 60448-8595 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.