Active NPI
Joseph Harry Hines, MD
- Endocrinology, Diabetes & Metabolism Physician
- Erie, PA
National Provider Identifier
1235108341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD021558E
- Practice address
- 240 W 11TH St
2ND Floor
Erie, PA 16501-1702 - Phone
- (814) 452-2218
- Fax
- (814) 452-4639
- NPI assigned
- Mar 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD021558E | PA | Primary |
Addresses
Primary practice location
240 W 11TH St
2ND Floor
Erie, PA 16501-1702
Mailing address
240 W 11TH St
2ND Floor
Erie, PA 16501-1702
Phone (814) 452-2218
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HI162000 | Other | PA | BLEU SHIELD |
| 00025195101 | Other | PA | UNIVERA |
| 209019 | Other | PA | UPMC |
| 110044534 | Other | PA | RAIL ROAD MEDICARE |
| 0007415850001 | Medicaid | PA | |
| 000000074125 | Other | PA | UNISON |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1235108341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 11TH ST",
"address_2": "2ND FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165011702",
"telephone_number": "814-452-2218",
"fax_number": "814-452-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 11TH ST",
"address_2": "2ND FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165011702",
"telephone_number": "814-452-2218",
"fax_number": "814-452-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "JOSEPH",
"middle_name": "HARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD021558E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLEU SHIELD",
"identifier": "HI162000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025195101",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "209019",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "110044534",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007415850001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000074125",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.