DR. KIRK S HINKLEY IV (NPI# 1366484198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484198 |
| Entity Type | Individual |
| Full Name | DR. KIRK S HINKLEY IV |
| Credential | MD |
| Practice Address |
25059 State Route 11 Ste A Hallstead PA 18822-8831 |
| Mailing Address |
2872 Turnpike St Susquehanna PA 18847-2771 |
| Practice Telephone | 5708798779 |
| Mailing Telephone | 5708533135 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD446951 | PA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 260513 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 87766 | OH | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD446951 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1026505170008 | 05 |
| Street Address |
25059 STATE ROUTE 11 STE A |
| City | HALLSTEAD |
| State | PA |
| Zip Code | 18822-8831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558782060 | Neal Juraska | Pharmacist | 36 Rose St, Hallstead Family Pharmacy, Hallstead, PA 18822 | 2013-12-31 |
| 1942453311 | Heidi Ann Woodruff | Occupational Therapy Assistant | 616 Mountain Valley Rd, Hallstead, PA 18822 | 2008-10-29 |
| 1780749671 | Susan Marie Jackson | Family Medicine | 25066 Sr 11, Hallstead, PA 18822 | 2006-12-22 |
| 1598842023 | Reddon Drug Co. Inc. | Durable Medical Equipment & Medical Supplies | 25059 Sr 11, Hallstead, PA 18822 | 2006-11-01 |
| 1912523689 | Hallstead Family Pharmacy LLC | Pharmacy | 36 Rose St, Hallstead, PA 18822 | 2020-06-18 |
| 1346603016 | Donna C Holinej | Pharmacist | 25059 Sr 11, Po Box L, Hallstead, PA 18822 | 2016-03-31 |
| 1356615785 | Jody Lee Verdetto | Pharmacist | 25059 Sr 11, Hallstead, PA 18822 | 2012-03-02 |
| 1629101712 | Jeffrey Gonz | Technician/Technologist | 19 Main St, Hallstead, PA 18822 | 2007-03-14 |
| 1053409227 | Binghampton Optical Inc | Eyewear Supplier (Equipment, not the service) | 19 Main St, Hallstead, PA 18822 | 2006-10-11 |
| 1164528089 | Bernard Leo Remakus | Internal Medicine | Rr2 Steam Hollow Road, Hallstead, PA 18822-0367 | 2006-09-16 |
| Find all providers in zip 18822 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1609494798 | Heather L Levan | General Practice | 919 Gravel Pike, Palm, PA 18070-1204 | 2020-07-06 |
| 1124642996 | Wound Pros Medical Group | General Practice | 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 | 2020-06-08 |
| 1861024390 | Daniel James Leonard IIi | General Practice | 397 Fifth Street, Nanty Glo, PA 15943 | 2020-02-12 |
| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1366008260 | Ltc Treatment Center Inc | General Practice | 7712 Buist Ave Apt B, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1003479825 | Marsha Frances Santangelo | General Practice | 107 Sawgrass Drive, Blue Bell, PA 19422 | 2019-04-17 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1033686159 | Star Wellness Center, Inc | General Practice | 511 E 3rd St Ste 202, Bethlehem, PA 18015-2180 | 2018-10-26 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1124510888 | Healing Place Medical, P.C. | General Practice | 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 | 2018-05-30 |
| 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.