Michael Andrew Hildreth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1513 Harrison Ave
Suite 18
Elkins, WV 26241-3356

Phone

(304) 613-9517

NPI assigned

Feb 7, 2014

Sex

Male

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  NPD (past)
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clay, WV
  • NPI 1073562641
  NPD (past)
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Shinnston, WV
  • NPI 1548609092
  NPD (past)
• Medexpress Urgent Care, PC - Pennsylvania

  • Urgent Care Clinic/Center
  • Brookhaven, PA
  • NPI 1437681335
  NPD (past)

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1619391919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE",
            "address_2": "SUITE 18",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-613-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE",
            "address_2": "SUITE 18",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-613-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hickman, PT, DPT
• Deanna Higgins
• Rebecca Ruth Higgins, RN-HIS
• Tarmara D Higgins
• Carl High, MD
• Krista Hill
• Sara Hinchman
• Sydney Renae Hinchman
• Kristian Hinebaugh
• Stephanie Hines

• Physician Assistant in Elkins, WV
• Providers in Elkins, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.

Verify at the official NPI Registry.