Active NPI
David E Hill, MD
- Pediatric Urology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- MD0000012874
- Practice address
- 2100 W Clinch Ave
Suite 120
Knoxville, TN 37916-2288 - Phone
- (865) 637-7290
- Fax
- (865) 637-7289
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12874 | TN | |
| Pediatric Urology Physician | 2088P0231X | ME130273 | FL | |
| Pediatric Urology Physician | 2088P0231X | MD0000012874 | TN | Primary |
Addresses
Primary practice location
2100 W Clinch Ave
Suite 120
Knoxville, TN 37916-2288
Mailing address
2100 W Clinch Ave
Suite 120
Knoxville, TN 37916-2288
Phone (865) 637-7290
Other practice location 1
5153 N 9th Ave
Pensacola, FL 32504-8785
Phone (850) 505-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024355300 | Medicaid | FL | |
| 3003431 | Medicaid | TN |
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 |
|---|---|---|---|
| 12874 | TN | MD | Dentist |
| ME130273 | FL | MD | Pediatric Urology Physician |
| MD0000012874 | TN | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
5153 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-1575
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
Interoperability endpoints
- dhill71705@direct.nemours.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1114912516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 120",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162288",
"telephone_number": "865-637-7290",
"fax_number": "865-637-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 120",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162288",
"telephone_number": "865-637-7290",
"fax_number": "865-637-7289"
}
],
"practiceLocations": [
{
"address_1": "5153 N 9th Ave",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048785",
"country_code": "US",
"telephone_number": "850-505-4700",
"fax_number": "850-505-4711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "DAVID",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "12874",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "FL",
"license": "ME130273",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "TN",
"license": "MD0000012874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024355300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3003431",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.