John D Hillman, MD

Individual provider Active NPI Internal Medicine Physician · Silverthorne, CO

NPI 1649240664 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1649240664
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
16593 (CO)
Practice address
0178 Arrow Head Bluff Dr
Blue River Route
Silverthorne, CO 80498-9538
Phone
(970) 262-6820
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16953COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, PC Internal Medicine Past
since Aug 1, 2008
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16593 CO Yes

Addresses

Primary practice location

0178 Arrow Head Bluff Dr
Blue River Route
Silverthorne, CO 80498-9538

Mailing address

0178 Arrow Head Bluff Dr
Blue River Route
Silverthorne, CO 80498-9538
Phone (970) 262-6820

Other identifiers

IdentifierTypeStateIssuer
01165935MedicaidCO

Other providers in Silverthorne, CO

All providers in Silverthorne, CO · Internal Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.