Muncie Family Medicine

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

01042668 Issued in IN

Legal business name

MUNCIE FAMILY MEDICINE

Practice address

503 S Tillotson Ave
Muncie, IN 47304-4447

Phone

(765) 213-2234

Fax

(765) 282-5231

NPI assigned

Jul 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Bruce Hiltz, M.D.

Title

President

Phone

(765) 213-2234

Specialties & licenses 1

Addresses

Other identifiers 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

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1346430832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044447",
            "telephone_number": "765-213-2234",
            "fax_number": "765-282-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044447",
            "telephone_number": "765-213-2234",
            "fax_number": "765-282-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCIE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "HILTZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-213-2234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "01042668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muncie Allergy Center. P.S.C.
• Muncie Cataract & Laser Eye Center, LLC
• Muncie Community Schools
• Muncie Dental Care & Denture Center
• Muncie Family Dental Care, Inc.
• Muncie Otolaryngology Associates PC
• Muncie Primary Care
• Muncie Public Charter School of Inquiry
• Muncie RCF LP
• Muncie Rehab Opco LLC

• Allergy & Immunology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Allergy & Immunology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.