Mark W. Hinman, MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARK W. HINMAN, MD, LLC

Practice address

1350 Tulip St
Longmont, CO 80501-3140

Phone

(303) 776-6872

Fax

(303) 776-2501

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Wallace Hinman, MDNPI 1750385415

Title

Owner

Phone

(303) 776-6872

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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

• Mark Wallace Hinman, M.D.

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1750385415
  Medicare reassignment NPD Authorized official
• Rhea Teasley-Bennett, NP

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1427529197
  Medicare reassignment NPD

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1992988828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TULIP ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013140",
            "telephone_number": "303-776-6872",
            "fax_number": "303-776-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TULIP ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013140",
            "telephone_number": "303-776-6872",
            "fax_number": "303-776-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. HINMAN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HINMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-776-6872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Lynn Marcotte, CSFA
• Sarah E Marcus
• Erika F Marie, DACM
• Qiyra Marie, MPT
• Marilyn J Meyers Counseling Inc.
• Emma Markell, BCBA
• Heather Markus, PT, DPT
• Lynn Marlow, M.A.
• Marnie Adamson, Otr, LLC
• Gabriela Marquez, LCSW

• Primary Care Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.