Provider Demographics
NPI:1801856968
Name:HILL, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
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 1:3515 MASSILLON RD
Mailing Address - Street 2:STE 300
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7854
Mailing Address - Country:US
Mailing Address - Phone:330-899-9350
Mailing Address - Fax:330-634-1329
Practice Address - Street 1:3043 SANITARIUM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4600
Practice Address - Country:US
Practice Address - Phone:330-628-4044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-9940H207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH729750OtherBUCKEYE COMMUNITY HEALTH
OH000000132180OtherANTHEM
OH058OtherSUMMA CARE
OH0590016Medicaid
OH010022511OtherRAILROAD MEDICARE
OH047579OtherSELECT CARE
OH341458069LOtherAULTCARE
OH04-03019OtherUNITED HEALTHCARE
OH729750OtherBUCKEYE COMMUNITY HEALTH
OH058OtherSUMMA CARE