Provider Demographics
NPI:1841308285
Name:HILLTOP OBSTETRICS & GYNECOLOGY, INC.
Entity type:Organization
Organization Name:HILLTOP OBSTETRICS & GYNECOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PROFFITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-424-1440
Mailing Address - Street 1:200 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-2593
Mailing Address - Country:US
Mailing Address - Phone:513-424-1440
Mailing Address - Fax:513-424-1422
Practice Address - Street 1:200 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 160
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-2593
Practice Address - Country:US
Practice Address - Phone:513-424-1440
Practice Address - Fax:513-424-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-27
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2184345Medicaid
OH2184345Medicaid