Individual provider Active NPI

Jack Terrell Hinkle, DO

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1144218652
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4903985 1204 Issued in UT
Practice address
595 S Bluff St Ste 6
St George, UT 84770-3593
Phone
(435) 628-5851
Fax
(435) 628-5852
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101007259 MI
Family Medicine Physician 207Q00000X 4903985 1204 UT Primary

Addresses

Primary practice location

595 S Bluff St Ste 6
St George, UT 84770-3593

Mailing address

595 S Bluff St Ste 6
St George, UT 84770-3593
Phone (435) 628-5851

Other identifiers 2

IdentifierTypeStateIssuer
0853830844OtherMIMICHIGAN BC
1744090MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20050608000124 UT Practitioner - Family Practice 9436192747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

595 S Bluff St
Suite 6
St George, UT 84770-3593
Phone (435) 628-5851

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Merit-based Incentive Payment System (MIPS)

Final score
20.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101007259MIMDFamily Medicine Physician
4903985 1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Terrell Hinkle DO PC Family Medicine CurrentSince Apr 1, 2003 Accepting new patients
John F Smarch DC PC PastSince Mar 1, 2005 Accepting new patients

Locations

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

1150 S Bluff St
Ste 4
St George, UT 84770
Phone (435) 500-6734

595 S Bluff St
Ste 6
St George, UT 84770
Phone (435) 628-5851

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 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1144218652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 S BLUFF ST STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703593",
            "telephone_number": "435-628-5851",
            "fax_number": "435-628-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 S BLUFF ST STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703593",
            "telephone_number": "435-628-5851",
            "fax_number": "435-628-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "JACK",
        "middle_name": "TERRELL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007259",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4903985 1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BC",
            "identifier": "0853830844",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.