Individual provider Active NPI

Colin G Hill, PA

  • Medical Physician Assistant
  • Woodward, OK
National Provider Identifier
1225356330
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1181 Issued in OK
Practice address
1715 Main St
Woodward, OK 73801-2938
Phone
(580) 548-1777
Fax
(580) 254-5899
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA06826 TX
Medical Physician Assistant 363AM0700X 1181 OK Primary

Addresses

Primary practice location

1715 Main St
Woodward, OK 73801-2938

Mailing address

1715 Main St
Woodward, OK 73801-2938
Phone (580) 548-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100901000341 OK Practitioner - Physician Assistant 9739203464 Reassigns benefits to 2 organizations
I20170726000239 TX Practitioner - Physician Assistant 9739203464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1500 W I 240 Service Rd
Suite A14
Oklahoma City, OK 73159-8203
Phone (405) 632-1002

36 W Memorial Rd
Suite C3
Oklahoma City, OK 73114-2312
Phone (405) 755-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1181OKMDOptometrist
PA06826TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Feb 12, 2018 Accepting new patients
American Current Care, P.a. CurrentSince Jul 16, 2018 Accepting new patients
American Current Care, PA CurrentSince Feb 12, 2018 Accepting new patients
Panhandle Womens Center P L L C Past Accepting new patients

Locations

36 W Memorial Rd
Ste C3
Oklahoma City, OK 73114
Phone (405) 755-3110

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1225356330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012938",
            "telephone_number": "580-548-1777",
            "fax_number": "580-254-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012938",
            "telephone_number": "580-548-1777",
            "fax_number": "580-254-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "COLIN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06826",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.