Active NPI
Mark Allan Hinton, M.D.
- Child & Adolescent Psychiatry Physician
- Lackland a F B, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- K1216
- Practice address
- 2200 Bergquist Dr
Ste 1
Lackland a F B, TX 78236-9907 - Phone
- (228) 257-1978
- Fax
- (210) 292-2520
- NPI assigned
- Feb 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K1216 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | K1216 | TX | Primary |
Addresses
Primary practice location
2200 Bergquist Dr
Ste 1
Lackland a F B, TX 78236-9907
Mailing address
2200 Bergquist Dr
Ste 1
Lackland a F B, TX 78236-9907
Phone (228) 257-1978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396717781 | Medicaid | TX | |
| 1396717781 | Other | TX | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community MHMR Center | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Psychiatry | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Heart of Texas Region MHMR Center | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Current | Accepting new patients | |
| St Luke'S Physician Group Inc | Psychiatry | Current | Accepting new patients |
Locations
257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430
110 S 12th St
Waco, TX 76701
Phone (254) 297-7124
Interoperability endpoints
- mark.hinton@slpg.direct-sluhn.org
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waco, TX
- NPI 1639399132
-
- Community/Behavioral Health Agency
- Kerrville, TX
- NPI 1841304201
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Psychiatry Physician
- Dallas, TX
- NPI 1871563494
-
- Psychiatry Physician
- Allentown, PA
- NPI 1548821374
-
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1396717781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"address_2": "STE 1",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "228-257-1978",
"fax_number": "210-292-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"address_2": "STE 1",
"city": "LACKLAND A F B",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "228-257-1978",
"fax_number": "210-292-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTON",
"first_name": "MARK",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K1216",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "K1216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396717781",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1396717781",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lackland a F B, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.