Johnnie Hinton III, M.D.
Individual provider Active NPI Nephrology Physician · El Dorado, AR
NPI 1215917562 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1215917562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- E3592 (AR)
- Practice address
- 620 W Grove St
El Dorado, AR 71730-4462 - Phone
- (501) 321-9803
- Fax
- (501) 321-0710
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Arkansas College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Renal Group PA
Practice addresses (Care Compare)
115 Wrights St
Suite C
Hot Springs, AR 71913-6240
Phone (501) 624-6000
620 W Grove St
Suite 101
El Dorado, AR 71730-4409
Phone (870) 862-0801
Hospital & facility affiliations
- DaVita South Arkansas Dialysis
- South Arkansas Regional Hospital LLC
- Bradley County Medical Center
- Ashley County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100416000127 | AR | Practitioner - Nephrology |
3375574080 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Renal Group PA | Nephrology | Current |
Accepting new patients |
| California Renal Care | Nephrology | Current |
Accepting new patients |
| Arkansas Renal Group PA | Nephrology | Current |
Accepting new patients |
Locations
620 W Grove St
Ste 101
El Dorado, AR 71730
Phone (870) 862-0801
620 W Grove St
El Dorado, AR 71730
Phone (870) 862-0801
115 Wrights St
#C
Hot Springs National Park, AR 71913
Phone (501) 321-9803
115 Wrights St
Hot Springs National Park, AR 71913
Phone (501) 321-9803
Interoperability endpoints
- johnniehinton@arkneph.ssdirect.aprima.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | E3592 | AR | Yes |
Addresses
Primary practice location
620 W Grove St
El Dorado, AR 71730-4462
Mailing address
115 Wrights St
Suite C
Hot Springs, AR 71913-6240
Phone (501) 321-9803
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149509001 | Medicaid | AR |
Other providers in El Dorado, AR
- Donna M Hill
- Kenlee Faith Hill
- Lynne Raney Hill
- Marla Hill
- Hillsboro Manor Nursing Home, Inc.
- Hmdod LLC
- HMNH Inc
- Nicki Marie Hollis
- Holly McDougald
- Edith M Honeycutt
All providers in El Dorado, AR · Nephrology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.