Active NPI
Mark Hinton, ATC, FR, FDM
- Specialist
- Fayetteville, AR
National Provider Identifier
1437534633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT 469
- Practice address
- 131 Barnhill Arena Office
Office 116a
Fayetteville, AR 72701 - Phone
- (479) 575-5150
- NPI assigned
- Jul 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | AT 469 | AR | Primary |
Addresses
Primary practice location
131 Barnhill Arena Office
Office 116a
Fayetteville, AR 72701
Mailing address
6258 W Copper Ridge LN
Fayetteville, AR 72704-6071
Phone (473) 249-5487
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 469 | AR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1437534633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6258 W COPPER RIDGE LN",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046071",
"telephone_number": "473-249-5487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BARNHILL ARENA OFFICE",
"address_2": "OFFICE 116A",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72701",
"telephone_number": "479-575-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTON",
"first_name": "MARK",
"credential": "ATC, FR, FDM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "AT 469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.