Provider Demographics
NPI:1780237404
Name:HILTON, CHRIS C (PA-C)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:C
Last Name:HILTON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2454 DUCK CREEK RD APT 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3955
Mailing Address - Country:US
Mailing Address - Phone:513-256-3796
Mailing Address - Fax:
Practice Address - Street 1:2454 DUCK CREEK RD APT 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-3955
Practice Address - Country:US
Practice Address - Phone:513-256-3796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026017363A00000X
MTMED-PAC-LIC-103714363A00000X
OKPA4777363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant