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E E HINES III MD PC NPI 1083758122


NPI Information

NPI: 1083758122
Provider Name: E E HINES III MD, PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
6263 POPLAR AVE
STE 1052
MEMPHIS, TN
ZIP 38119
Phone: (901) 761-6157
Get Directions

E E HINES III MD, PC is a geriatric medicine family medicine in Memphis, TN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. E E HINES III MD, PC NPI is 1083758122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6263 POPLAR AVE
STE 1052
MEMPHIS, TN
ZIP 38119-701
Phone: (901) 761-6157
Fax: (901) 761-4145

The provider's authorized official is Elbert E. Hines .
The authorized official title is President and has the following contact phone number (901) 761-6157.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 2/11/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13389063MEDICAIDTENNESSEE
2002008944OTHERBLUE CROSS BLUE SHIELD
3CL0583OTHERTENNESSEERAILROAD MEDICARE
4A98163MEDICARE UPIN
54409209005OTHERCIGNA
63389063MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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