Provider Demographics
NPI:1063476406
Name:HILLS, EVERETT C (MD)
Entity Type:Individual
Prefix:
First Name:EVERETT
Middle Name:C
Last Name:HILLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 BRIDGE STREET
Mailing Address - Street 2:STE 5
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-1972
Mailing Address - Country:US
Mailing Address - Phone:717-712-6510
Mailing Address - Fax:717-251-1563
Practice Address - Street 1:503 BRIDGE STREET
Practice Address - Street 2:STE 5
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-1972
Practice Address - Country:US
Practice Address - Phone:717-712-6510
Practice Address - Fax:717-251-1563
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045094E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014133550005Medicaid
F10602Medicare UPIN
PA0014133550005Medicaid