Provider Demographics
NPI:1649256165
Name:HILLSMAN, REGINA ONIC (MD)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:ONIC
Last Name:HILLSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 POST ROAD EAST
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880
Mailing Address - Country:US
Mailing Address - Phone:203-586-1181
Mailing Address - Fax:
Practice Address - Street 1:2 POMPERAUG OFFICE PARK STE 308
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2293
Practice Address - Country:US
Practice Address - Phone:203-586-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT21015207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2108419OtherAETNA PPO
17903OtherCT CONTROLLED SUBSTANCE
21015OtherCT STATE MEDICAL LICENSE
ZS054OtherOXFORD
61399688004OtherALLIED HEALTH GROUP
045697001/030OtherCIGNA
104857OtherGAB
104857300OtherACS
010021015CT10OtherANTHEM BCBS
061399688 004OtherCNC
121822OtherHMC PPO
799988OtherCONNECTICARE
83988OtherUNH
OR0504OtherHEALTHNET
21015OtherCT STATE MEDICAL LICENSE