Provider Demographics
NPI:1669151718
Name:HILGER MEDICAL GROUP
Entity type:Organization
Organization Name:HILGER MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:HILGER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:918-331-8187
Mailing Address - Street 1:539 LEAHY AVE
Mailing Address - Street 2:
Mailing Address - City:PAWHUSKA
Mailing Address - State:OK
Mailing Address - Zip Code:74056-5241
Mailing Address - Country:US
Mailing Address - Phone:918-331-8187
Mailing Address - Fax:
Practice Address - Street 1:539 LEAHY AVE
Practice Address - Street 2:
Practice Address - City:PAWHUSKA
Practice Address - State:OK
Practice Address - Zip Code:74056-5241
Practice Address - Country:US
Practice Address - Phone:918-331-8187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILGER MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty