Provider Demographics
NPI:1699839738
Name:HILL, RODNEY EARL (MD)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:EARL
Last Name:HILL
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 1:1350 FIFTH AVE
Mailing Address - Street 2:SUITE 324
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504
Mailing Address - Country:US
Mailing Address - Phone:330-746-7007
Mailing Address - Fax:330-746-8818
Practice Address - Street 1:1350 FIFTH AVE
Practice Address - Street 2:SUITE 324
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504
Practice Address - Country:US
Practice Address - Phone:330-746-7007
Practice Address - Fax:330-746-8818
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35073668H207QA0401X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2253609Medicaid
OH2253609Medicaid
F50304Medicare UPIN