Individual provider Active NPI

Michael D. Hinman, PA

  • Physician Assistant
  • Carthage, NY
National Provider Identifier
1003882382
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002539 Issued in NY
Practice address
3 Bridge Street
Suite 3
Carthage, NY 13619
Phone
(315) 493-7334
Fax
(315) 493-1811
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002539 NY Primary

Addresses

Primary practice location

3 Bridge Street
Suite 3
Carthage, NY 13619

Mailing address

3 Bridge Street
Suite 3
Carthage, NY 13619
Phone (315) 493-7334

Other identifiers 1

IdentifierTypeStateIssuer
01270171MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000951 NY Practitioner - Physician Assistant 2466471941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates PCGroup PAC ID 5890684500, 3 clinicians

Practice addresses (Care Compare)

3 Bridge St
Suite 3
Carthage, NY 13619-1353
Phone (315) 493-7334

Hospital & facility affiliations

  • Samaritan Home Health, Inc Home health agency, Watertown, NY, CCN 337254
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
  • River Hospital Clinics Hospital, Alexandria Bay, NY, CCN 331309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Physical & Occupational Therapy, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhinman@fpa.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1003882382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIDGE STREET",
            "address_2": "SUITE 3",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-493-7334",
            "fax_number": "315-493-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIDGE STREET",
            "address_2": "SUITE 3",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "13619",
            "telephone_number": "315-493-7334",
            "fax_number": "315-493-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINMAN",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01270171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, NY

Sources for this page

Verify at the official NPI Registry.