Active NPI
Thomas Wade Hinton, MD
- Diagnostic Radiology Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-4453
- Practice address
- 3344 N Futrall Dr
Fayetteville, AR 72703 - Phone
- (479) 443-5312
- Fax
- (479) 582-7389
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M0111 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | E-4453 | AR | Primary |
Addresses
Primary practice location
3344 N Futrall Dr
Fayetteville, AR 72703
Mailing address
PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174275101 | Medicaid | TX | |
| P00322549 | Other | AR | RR MCR |
| 200086100A | Medicaid | OK | |
| 160615001 | Medicaid | AR | |
| 5N477 | Other | AR | AR BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1109 S W End St
Springdale, AR 72764-5228
Phone (479) 750-3630
2523 E Huntsville Rd
Fayetteville, AR 72701-7329
Phone (479) 442-2822
3264 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 435-2400
3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-8200
3383 N Mana CT
Fayetteville, AR 72703-4965
3901 Pkwy Cir
Suite 125
Springdale, AR 72762-6362
Phone (479) 442-6266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4453 | AR | MD | Diagnostic Radiology Physician |
| M0111 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas, PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Associates of Northwest Arkansas PA | Diagnostic Radiology | Past | Accepting new patients |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients |
Locations
55 W Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 442-5266
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
Interoperability endpoints
- thinton45774@washingtonregional.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fayetteville, AR
- NPI 1801847827
Diagnostic Radiology
-
- Family Medicine Physician
- Rogers, AR
- NPI 1881029627
-
- Podiatrist
- Fayetteville, AR
- NPI 1164140729
-
- Family Medicine Physician
- Fayetteville, AR
- NPI 1710218995
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1992760706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021523",
"telephone_number": "479-571-6038",
"fax_number": "479-582-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3344 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-443-5312",
"fax_number": "479-582-7389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTON",
"first_name": "THOMAS",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M0111",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-4453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174275101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00322549",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200086100A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160615001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "5N477",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.