Provider Demographics
NPI:1093779225
Name:HILTON, JAMES I (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:I
Last Name:HILTON
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:PO BOX 10848
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939-0848
Mailing Address - Country:US
Mailing Address - Phone:865-481-1904
Mailing Address - Fax:865-450-9374
Practice Address - Street 1:944 OAK RIDGE TPKE
Practice Address - Street 2:SUITE 300
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6959
Practice Address - Country:US
Practice Address - Phone:865-481-1904
Practice Address - Fax:865-450-9374
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN058042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3159617Medicaid
TN300051960Medicare PIN
TN3159617Medicaid
TN3159617Medicare PIN