Provider Demographics
NPI:1376509760
Name:HINTON, EMILY A (MD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:HINTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:BROOKE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 523
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:AR
Mailing Address - Zip Code:72741-0523
Mailing Address - Country:US
Mailing Address - Phone:479-521-4433
Mailing Address - Fax:479-521-0444
Practice Address - Street 1:4301 GREATHOUSE SPRINGS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JOHNSON
Practice Address - State:AR
Practice Address - Zip Code:72741-0523
Practice Address - Country:US
Practice Address - Phone:479-521-4433
Practice Address - Fax:479-521-0444
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2320207V00000X
ARE4660207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156134203Medicaid
AR161782001Medicaid
H87877Medicare UPIN
AR161782001Medicaid