Mary Suzanne Hamill, DH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

000903051 Issued in CO

Practice address

300 Main Street
Oak Creek, CO 80467-0008

Phone

(970) 736-8118

Fax

(970) 736-0678

NPI assigned

Jun 24, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7204/brand/1/csg/1/fhir/r4

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.

• South Routt Medical Center Health Service District

  • Family Medicine Physician
  • Oak Creek, CO
  • NPI 1790799104
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1457790453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "address_2": "300 MAIN STREET",
            "city": "OAK CREEK",
            "state": "CO",
            "postal_code": "804670008",
            "telephone_number": "970-736-8118",
            "fax_number": "970-736-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN STREET",
            "city": "OAK CREEK",
            "state": "CO",
            "postal_code": "804670008",
            "telephone_number": "970-736-8118",
            "fax_number": "970-736-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILL",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "DH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "000903051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90402260",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Nicole Karen Anderson, OTD, OTR/L
• Bonfiglio Drug, Inc
• Linda B Casner, NP
• Denise Maureen Clark, MD
• Enlighten Minds LLC
• Angelina Marie Henry, R.D.H.
• Jamalynn E Holloway, LPCC,
• Sallie Holmes
• Britni H Johnson, BA, FNTP, RWP
• Karla Kopnisky, RDH

• Dental Hygienist in Oak Creek, CO
• Providers in Oak Creek, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.