Hill Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1214 Issued in OK

Legal business name

HILL DERMATOLOGY, PLLC

Practice address

309 SE Frank Phillips Blvd
Bartlesville, OK 74003-3643

Phone

(918) 214-8888

Fax

(918) 214-8887

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tamara Lyn Hill, M.D.NPI 1417934852

Title

Owner

Phone

(918) 214-8888

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Lyn Hill, MD.

  • Dermatology Physician
  • Bartlesville, OK
  • NPI 1417934852
  Medicare reassignment Authorized official
• Kori A Sauer, APRN

  • Dermatology Physician
  • Bartlesville, OK
  • NPI 1841612025
  Medicare reassignment NPD
• Monica Abbott, PA-C

  • Medical Physician Assistant
  • Tulsa, OK
  • NPI 1598975559
  Medicare reassignment
• Nicholas A Mietus, PA-C

  • Physician Assistant
  • Bartlesville, OK
  • NPI 1306352422
  Medicare reassignment

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1073912499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033643",
            "telephone_number": "918-214-8888",
            "fax_number": "918-214-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SE FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033643",
            "telephone_number": "918-214-8888",
            "fax_number": "918-214-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-214-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": "1214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588628978",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417934852",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841612025",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306352422",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree R Heskett, LPC CANDIDATE
• William Hiatt, DDS
• Erika Lynn Hightower, BS, BHRS
• Gregory Hightower, MD
• Kyle Andrew Hightower, BA
• Hill Dermatology, PLLC
• Cheyenne Salome Hill
• Sheryl S Hill
• Tamara Lyn Hill, MD.
• Whitney Hillis

• Dermatology Physician in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.