Provider Demographics
NPI:1861503062
Name:HILL, CHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
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 1:603-2 N PROGRESS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4063
Mailing Address - Country:US
Mailing Address - Phone:479-524-9312
Mailing Address - Fax:479-524-9627
Practice Address - Street 1:603-2 N PROGRESS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4063
Practice Address - Country:US
Practice Address - Phone:479-524-9312
Practice Address - Fax:479-524-9627
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE0969207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR134625001Medicaid
OK100080930AMedicaid
AR134625001Medicaid