Organization Active NPI

Hines Family Care Center Inc

  • Family Medicine Physician
  • Florissant, MO
National Provider Identifier
1679671929
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDR4G28 Issued in MO
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

Updated by the provider on Nov 5, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MDR4G28 MO Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.