Wirt A Hines II, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

1505831205 Issued in UT

Practice address

1121 E 3900 S
Suite C-125
Salt Lake City, UT 84124-1214

Phone

(801) 266-3400

Fax

(801) 266-3401

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669546743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "SUITE C-125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-266-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "SUITE C-125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-266-3400",
            "fax_number": "801-266-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "WIRT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "1505831205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Hinckley
• Bailey Hincks
• Amanda Mary Hindoian, RD
• Adam Hine, DDS
• Jordan Hines
• Erin Elizabeth Hinich
• Jan Hinich, FNP-C
• Anne Hinley, MS, LAT, ATC
• Kristin Janet Hinsen, MD
• Joanne Sumpio Hinson, M.D.

• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.