Active NPI
Hines Family Care Center Inc
- Family Medicine Physician
- Florissant, MO
National Provider Identifier
1679671929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MDR4G28
- Legal business name
- HINES FAMILY CARE CENTER INC
- Practice address
- 13300 New Halls Ferry Rd
Ste C
Florissant, MO 63033-3251 - Phone
- (314) 830-1900
- Fax
- (314) 830-4530
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Elvis Hines, MD
- Title
- Chairman/President
- Phone
- (314) 830-1900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MDR4G28 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 4301050425 | MI |
Addresses
Primary practice location
13300 New Halls Ferry Rd
Ste C
Florissant, MO 63033-3251
Mailing address
13300 New Halls Ferry Rd
Ste C
Florissant, MO 63033-3251
Phone (314) 830-1900
National Provider Directory
National Provider DirectoryLocations
13300 New Halls Ferry Rd
Ste C
Florissant, MO 63033
Phone (314) 830-1900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1679671929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13300 NEW HALLS FERRY RD",
"address_2": "STE C",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630333251",
"telephone_number": "314-830-1900",
"fax_number": "314-830-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13300 NEW HALLS FERRY RD",
"address_2": "STE C",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630333251",
"telephone_number": "314-830-1900",
"fax_number": "314-830-4530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HINES FAMILY CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ELVIS",
"authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
"authorized_official_telephone_number": "314-830-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "MDR4G28",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MI",
"license": "4301050425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.