Active NPI
Diane Elizabeth Hindman, MD, PHARMD
- Pediatrics Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 55643
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016 - Phone
- (602) 933-1900
- Fax
- (602) 933-1918
- NPI assigned
- Apr 21, 2013
- Last updated
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 092363 | ZZ | |
| Pharmacist | 183500000X | S016370 | AZ | |
| Pediatrics Physician | 208000000X | 75980 | GA | |
| Pediatrics Physician | 208000000X | 55643 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Phone (602) 933-1813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S016370 | AZ | MD | Pharmacist |
| 092363 | ZZ | MD | Pharmacist |
| 55643 | AZ | MD | Pediatrics Physician |
| 75980 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HRMC, LLC | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Pediatrics | Current | Accepting new patients |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Phoenix Children's Medical Group | Current | Accepting new patients | |
| HRMC, LLC | Current | Accepting new patients | |
| Phoenix Children's Hospital | Pediatrics | Current | Accepting new patients |
| HRMC, LLC | Pediatrics | Current | Accepting new patients |
| HRMC, LLC | Past | Accepting new patients | |
| Havasu Regional Medical Center LLC | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
Interoperability endpoints
- diane.hindmanmd.p1@direct.cbridges.nextgenshare.com
- https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cancer Care of Western Arizona
- Hematology & Oncology Physician
- Lake Havasu City, AZ
- NPI 1003139387
-
dba Phoenix Children's Medical Group
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
dba Atrium Health Navicent Medical Group
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Pediatrics
-
dba Urgent Care of HRMC
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1932610482
Pediatrics
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
dba Havasu Regional Medical Center
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1447694450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E CAMELBACK RD STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182327",
"telephone_number": "602-933-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "602-933-1900",
"fax_number": "602-933-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDMAN",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-21",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ZZ",
"license": "092363",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016370",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "75980",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "55643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.