Provider Demographics
NPI:1235182643
Name:RICHARD M. HILKER, DPM, P.C.
Entity Type:Organization
Organization Name:RICHARD M. HILKER, DPM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HILKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:260-490-3668
Mailing Address - Street 1:10323 DAWSONS CREEK BLVD
Mailing Address - Street 2:BLDG. 10-C
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-1910
Mailing Address - Country:US
Mailing Address - Phone:260-490-3668
Mailing Address - Fax:
Practice Address - Street 1:10323 DAWSONS CREEK BLVD
Practice Address - Street 2:BLDG. 10-C
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-1910
Practice Address - Country:US
Practice Address - Phone:260-490-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200316460Medicaid
IN4135620002Medicare NSC
INCH5527Medicare PIN
IN200316460Medicaid
IN224790Medicare PIN
IN4135620001Medicare NSC