Peter a Hinckle

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD18129 Issued in OR

Legal business name

PETER A HINCKLE

Practice address

600 NE Avalon PL
Corvallis, OR 97330-9258

Phone

(503) 316-1970

Fax

(503) 391-7422

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Peter A Hinckle, MDNPI 1710098181

Title

Owner

Phone

(503) 316-1970

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Peter A Hinckle, MD

  • Specialist
  • Corvallis, OR
  • NPI 1710098181
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1821293507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE AVALON PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309258",
            "telephone_number": "503-316-1970",
            "fax_number": "503-391-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE AVALON PL",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309258",
            "telephone_number": "503-316-1970",
            "fax_number": "503-391-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A HINCKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "HINCKLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-316-1970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD18129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057443",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Modalities Inc
• Nathan Perry, B.A.
• Scott Runyan Perry
• Sherry Lynn Lehua Perry
• Bethany Peshek
• Kelsea Peterman, D.O.
• Addison Peters, ATC, LAT
• Amy Dawn Peters, MS, CCC-SLP
• Cathryn Peters, RPH
• Emily Grace Peters

• Specialist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.