Provider Demographics
NPI:1619924255
Name:HINKHOUSE, JAY JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:JAMES
Last Name:HINKHOUSE
Suffix:
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 1:5876 ARRASMITH TRL
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-9244
Mailing Address - Country:US
Mailing Address - Phone:515-232-9467
Mailing Address - Fax:
Practice Address - Street 1:5876 ARRASMITH TRL
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-9244
Practice Address - Country:US
Practice Address - Phone:515-232-9467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA28635207P00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAF27354Medicare UPIN