Carla D. Hines, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0002679 Issued in MD

Practice address

12070 Old Line Center Drive
Suite 210
Waldorf, MD 20602

Phone

(240) 629-3952

Fax

(240) 629-3953

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: bloomhealthcenters.carlahines@131200.advancedmd-direct.com

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.

• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Clinical Medical Laboratory
  • Owings Mills, MD
  • NPI 1316315740
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1407059967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2348",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208752348",
            "telephone_number": "240-629-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CENTER DRIVE",
            "address_2": "SUITE 210",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "240-629-3952",
            "fax_number": "240-629-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "CARLA",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilson Theodore Hilario
• Jennifer Hilfiker, PA-C
• Amanda Marie Hill, CRNP
• Jacob Hill, PA-C
• Kimberly Hill
• Hispanic American Pediatrics & Family Care LLC
• Matthew John Hockett, OD
• Pamela Aleasia Hodge
• Kimberle Lynne Hogge, PA-C
• Ceyonna Hogue

• Physician Assistant in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.