Provider Demographics
NPI:1457566077
Name:MICHAEL W. HILL, MD, PC
Entity Type:Organization
Organization Name:MICHAEL W. HILL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-588-1941
Mailing Address - Street 1:PO BOX 53165
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-3165
Mailing Address - Country:US
Mailing Address - Phone:865-588-1941
Mailing Address - Fax:865-584-0530
Practice Address - Street 1:11132 WINDWARD DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-4048
Practice Address - Country:US
Practice Address - Phone:865-588-1941
Practice Address - Fax:865-584-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000020515174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3384260Medicaid
TN3384260Medicare ID - Type UnspecifiedMEDICARE