Provider Demographics
NPI:1477561579
Name:HINTON, ENDRIKA L (MD)
Entity Type:Individual
Prefix:DR
First Name:ENDRIKA
Middle Name:L
Last Name:HINTON
Suffix:
Gender:F
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 418953
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-8953
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10749 FALLS RD
Practice Address - Street 2:STE 302
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-7031
Practice Address - Country:US
Practice Address - Phone:410-616-7777
Practice Address - Fax:410-616-7727
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43933207VG0400X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD449851800Medicaid
MDKJ35GB/52818608OtherCAREFIRST MARYLAND
MDS132/0001OtherCAREFIRST REGIONAL
MD712L10DDMedicare PIN
MDKJ35GB/52818608OtherCAREFIRST MARYLAND
F62688Medicare UPIN