Andrew J Hill OD PA
Organization Active NPI Clinic/Center · Louisburg, KS
NPI 1003098294 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1003098294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ANDREW J HILL OD PA
- Practice address
- 3 S Berkley St
Louisburg, KS 66053-3578 - Phone
- (913) 837-3636
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Andrew J Hill, OD
- Title
- Owner
- Phone
- (913) 837-3636
Practitioners 3
-
Andrew James Hill, O.D.
-
Kevin Tomasu, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120313000906 | KS | Part B Supplier - Clinic/Group Practice | 0547381261 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisburg, KS |
National Provider Directory
Locations
3 S Berkley St
Louisburg, KS 66053
Phone (913) 276-0002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
3 S Berkley St
Louisburg, KS 66053-3578
Mailing address
PO Box 397
Louisburg, KS 66053-0397
Phone (913) 837-3636
Other providers in Louisburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.