Active NPI
Pamela Mary Hamilton, MD
- Gynecology Physician
- Garfield Heights, OH
National Provider Identifier
1104842822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 35 041722
- Practice address
- 12000 McCracken Rd
Garfield Heights, OH 44125-2964 - Phone
- (216) 587-8677
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 35 041722 | OH | Primary |
Addresses
Primary practice location
12000 McCracken Rd
Garfield Heights, OH 44125-2964
Mailing address
PO Box 25777
Garfield Heights, OH 44125-0777
Phone (216) 587-8677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0519586 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 041722 | OH | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104842822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25777",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441250777",
"telephone_number": "216-587-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 MCCRACKEN RD",
"city": "GARFIELD HEIGHTS",
"state": "OH",
"postal_code": "441252964",
"telephone_number": "216-587-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "PAMELA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "35 041722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0519586",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.