Provider Demographics
NPI:1134184674
Name:HILTON, EMORY J (DPM)
Entity type:Individual
Prefix:MR
First Name:EMORY
Middle Name:J
Last Name:HILTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1502 NORTH STRONG BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-3842
Mailing Address - Country:US
Mailing Address - Phone:918-426-3668
Mailing Address - Fax:918-426-3654
Practice Address - Street 1:1502 NORTH STRONG BLVD
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-3842
Practice Address - Country:US
Practice Address - Phone:918-426-3668
Practice Address - Fax:918-426-3654
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK210213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200007670AMedicaid
OKU86548OtherSTERLING OPTION 1
OK74502A047OtherCHAMPUS (WPS)
OK0166707OtherUMWA
OK731310891006OtherUNICARE
OK731310891028OtherTRICARE SOUTH
OK1324230001OtherPALMETTO DME
OK74502A047OtherCHAMPUS (WPS)
OK480035257Medicare PIN
OKU86548Medicare UPIN