Provider Demographics
NPI:1235130360
Name:HILL, JOHN SYLVESTER (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SYLVESTER
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:PO BOX 2209
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-2209
Mailing Address - Country:US
Mailing Address - Phone:800-341-8067
Mailing Address - Fax:
Practice Address - Street 1:166 PASADENA DR
Practice Address - Street 2:STE 150
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2973
Practice Address - Country:US
Practice Address - Phone:859-276-1452
Practice Address - Fax:859-277-1237
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20488207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1275304OtherMEDICARE INDIVIDUAL #
KY7100172090Medicaid
KY64204886Medicaid
KY1275304OtherMEDICARE INDIVIDUAL #
KY7100172090Medicaid