Provider Demographics
NPI:1235186040
Name:HILTS, GEORGE H III (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:H
Last Name:HILTS
Suffix:III
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 1:200 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5675
Mailing Address - Country:US
Mailing Address - Phone:701-222-3937
Mailing Address - Fax:701-222-8805
Practice Address - Street 1:200 S 5TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5675
Practice Address - Country:US
Practice Address - Phone:701-222-3937
Practice Address - Fax:701-222-8805
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4568208600000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
180011689OtherRAILROAD MEDICARE ID
SD7780380Medicaid
08-01416OtherMEDICA - MAIN CLINIC
22615OtherSIOUX VALLEY HEALTH PLAN
ND26349OtherBCBS - NORTH CLINIC
ND292OtherBCBS - MAIN CLINIC
08-01417OtherMEDICA - SURGERY CENTER
MT3501056Medicaid
08-01415OtherMEDICA - NORTH CLINIC
488241044238OtherPREFERRED ONE
ND13799Medicaid
SD7780380Medicaid
ND13799Medicaid
08-01417OtherMEDICA - SURGERY CENTER