Organization Active NPI

Hines Dermatology Associates, Inc.

  • Dermatology Physician
  • Attleboro, MA
National Provider Identifier
1972559862
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HINES DERMATOLOGY ASSOCIATES, INC.
Practice address
555 Pleasant St
Suite 106
Attleboro, MA 02703-2400
Phone
(508) 222-1976
Fax
(508) 226-9619
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Yvonne C. Hines, M.D.NPI 1255370904
Title
Medical Director
Phone
(508) 222-1976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

555 Pleasant St
Suite 106
Attleboro, MA 02703-2400

Mailing address

555 Pleasant St
Suite 106
Attleboro, MA 02703-2400
Phone (508) 222-1976

Other identifiers 1

IdentifierTypeStateIssuer
9777857MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000115 MA Part B Supplier - Clinic/Group Practice 7810953536 Receives reassigned benefits from 1 practitioner
Practice locations: Attleboro, MA; Vineyard Haven, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0881101Hines Dermatology Associates Inc555 Pleasant St, Attleboro, MA 02703ComplianceOct 24, 2026

National Provider Directory

National Provider Directory

Locations

555 Pleasant St
Ste 106
Attleboro, MA 02703
Phone (508) 222-1976

555 Pleasant St
Ste 206
Attleboro, MA 02703

35 Summer St
Ste 104
Taunton, MA 02780
Phone (508) 397-8857

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5083/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1972559862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLEASANT ST",
            "address_2": "SUITE 106",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032400",
            "telephone_number": "508-222-1976",
            "fax_number": "508-226-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLEASANT ST",
            "address_2": "SUITE 106",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032400",
            "telephone_number": "508-222-1976",
            "fax_number": "508-226-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINES DERMATOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-222-1976",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777857",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.