Provider Demographics
NPI:1114227360
Name:ONSITE MEDICAL, PLLC
Entity Type:Organization
Organization Name:ONSITE MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:918-426-1615
Mailing Address - Street 1:1030 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-4850
Mailing Address - Country:US
Mailing Address - Phone:918-426-1615
Mailing Address - Fax:918-426-2808
Practice Address - Street 1:1030 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-4850
Practice Address - Country:US
Practice Address - Phone:918-426-1615
Practice Address - Fax:918-426-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK210213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200007670BMedicaid