Provider Demographics
NPI:1336144773
Name:HILL, EDWARD B (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:B
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 FRANKLIN ST
Mailing Address - Street 2:STE 110
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4330
Mailing Address - Country:US
Mailing Address - Phone:814-535-1600
Mailing Address - Fax:814-535-1620
Practice Address - Street 1:1111 FRANKLIN ST
Practice Address - Street 2:STE 110
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4330
Practice Address - Country:US
Practice Address - Phone:814-535-1600
Practice Address - Fax:814-535-1620
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027749L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15588OtherBLUE CROSS/ BLUE SHIELD
PA0006410700001Medicaid
PA15588OtherBLUE CROSS/ BLUE SHIELD
PA015588X1PMedicare PIN