Jack Terrell Hinkle DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4903985-1204 Issued in UT

Legal business name

JACK TERRELL HINKLE DO PC

Practice address

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

Phone

(435) 628-5851

Fax

(435) 628-5852

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack Hinkle, DONPI 1144218652

Title

DO

Phone

(435) 628-5851

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Terrell Hinkle, DO

  • Family Medicine Physician
  • St George, UT
  • NPI 1144218652
  Medicare reassignment NPD Authorized official
• Tamarah Lynn Hinkle, FNP

  • Family Nurse Practitioner
  • Saint George, UT
  • NPI 1861041618
  Medicare reassignment NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1336364215",
    "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": {
        "organization_name": "JACK TERRELL HINKLE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "435-628-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4903985-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Ivarsen
• Sceri Sioux Ivers
• Tristen Iverson
• Roger L Ivey, MD
• J&M Clark Services, Inc
• Kaia Marie Jackman, FNP-C
• Kyra Jackman
• Travis C Jackman, PHARM D
• Rachel Jackson-Bowles
• Brecken Tristin Jackson, APRN

• Family Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.