Hillcrest Ear Nose & Throat Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

HILLCREST EAR NOSE & THROAT INC

Practice address

4033 3Rd Ave Ste 104
San Diego, CA 92103-2136

Phone

(619) 294-2350

Fax

(619) 296-5719

NPI assigned

Mar 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brent R. Driskill, MDNPI 1477612372

Title

Ceo

Phone

(619) 294-2350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chadwick James Donaldson, MD, MS, MPH

  • Otolaryngology Physician
  • Camp Pendleton, CA
  • NPI 1891743910
  Medicare reassignment Care Compare group NPD
• Sean Christopher Skelton, D.O.

  • Otolaryngology Physician
  • La Mesa, CA
  • NPI 1063592277
  Medicare reassignment Care Compare group NPD
• Amanda Snyder

  • Physician Assistant
  • San Diego, CA
  • NPI 1053015545
  Medicare reassignment Care Compare group
• Brent R Driskill, M.D.

  • Otolaryngology Physician
  • State College, PA
  • NPI 1477612372
  NPD Authorized official
• Anne Randle, PA

  • Physician Assistant
  • Orchard Park, NY
  • NPI 1295329894

  CA, Single Specialty

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1801473384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032136",
            "telephone_number": "619-294-2350",
            "fax_number": "619-296-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032136",
            "telephone_number": "619-294-2350",
            "fax_number": "619-296-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST EAR NOSE & THROAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-294-2350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Lamont Hill
• Tiffany Anne Hill, PHARM.D.
• Toria Hill
• Zachary Hill, AGACNP-BC
• Amy Hillabush
• Hillcrest Endodontics
• Hillcrest Gynecology & Obstetrics
• Hillcrest Hearing Center
• Hillcrest Hearing Center Inc
• Hillcrest Internal Medicine

• Otolaryngology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.