Provider Demographics
NPI:1083605927
Name:HILTON, PAMELA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:KAY
Last Name:HILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19475 CAVENDISH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-6117
Mailing Address - Country:US
Mailing Address - Phone:440-237-9347
Mailing Address - Fax:216-749-8273
Practice Address - Street 1:7575 NORTHCLIFF AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3267
Practice Address - Country:US
Practice Address - Phone:216-749-8277
Practice Address - Fax:216-749-8273
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-3099-H207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH393428OtherWELLCARE OF OH
OH105348OtherKAISER
OH000000183812OtherUNICARE
OH000000183812OtherANTHEM
OHP53099OtherSUMMACARE
OH0808675Medicaid
OH0808675Medicaid
OHE29712Medicare UPIN
OH110181742Medicare PIN