Individual provider Active NPI

Richard J Hilder Jr., M.D.

  • Dermatology Physician
  • Ocala, FL
National Provider Identifier
1063415784
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME34620 Issued in FL
Practice address
3233 SW 33Rd Rd
Ste 101
Ocala, FL 34474-8468
Phone
(352) 237-2322
Fax
(352) 237-2456
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME34620 FL Primary

Addresses

Primary practice location

3233 SW 33Rd Rd
Ste 101
Ocala, FL 34474-8468

Mailing address

3233 SW 33Rd Rd
Ste 101
Ocala, FL 34474-8468
Phone (352) 237-2322

Other identifiers 1

IdentifierTypeStateIssuer
ME34620OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000408 FL Practitioner - Dermatology 1759432008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME34620FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Dermatology & Skin Cancer Center, P.a. Dermatology CurrentSince Jun 5, 2000 Accepting new patients

Locations

3233 SW 33rd Rd
Ste 101
Ocala, FL 34474
Phone (352) 237-2322

10915 SE 177th Pl
Summerfield, FL 34491
Phone (352) 347-4500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1063415784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 SW 33RD RD",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748468",
            "telephone_number": "352-237-2322",
            "fax_number": "352-237-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 SW 33RD RD",
            "address_2": "STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748468",
            "telephone_number": "352-237-2322",
            "fax_number": "352-237-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDER",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME34620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME34620",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.