Provider Demographics
NPI:1194815936
Name:HILL, DAVID S (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:HILL
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 1:1326 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2847
Mailing Address - Country:US
Mailing Address - Phone:207-443-6211
Mailing Address - Fax:207-443-8078
Practice Address - Street 1:1326 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2847
Practice Address - Country:US
Practice Address - Phone:207-443-6211
Practice Address - Fax:207-443-8078
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME6808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEM72376OtherCIGNA
ME1042302OtherAETNA
MEC66295OtherHARVARD PILGRIM HEALTHCAR
MEEOO1179OtherTRICARE
ME005307OtherANTHEM
MEEOO1179OtherTRICARE
MEC66295OtherHARVARD PILGRIM HEALTHCAR