Provider Demographics
NPI:1619925385
Name:HINNERS, CHERYL K (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:K
Last Name:HINNERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:HINNERS
Other - Last Name:TIOJANCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:15209 LLOYD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-5144
Mailing Address - Country:US
Mailing Address - Phone:402-212-1076
Mailing Address - Fax:
Practice Address - Street 1:16934 FRANCES ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2397
Practice Address - Country:US
Practice Address - Phone:402-212-1076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21560207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47078557525Medicaid
NE47078557525Medicaid
NE273213Medicare ID - Type Unspecified