Provider Demographics
NPI:1982940482
Name:HILLTOP HEALTHCARE LLC
Entity Type:Organization
Organization Name:HILLTOP HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-463-5240
Mailing Address - Street 1:1130 TABB ST STE A
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-3434
Mailing Address - Country:US
Mailing Address - Phone:757-933-0717
Mailing Address - Fax:888-312-5192
Practice Address - Street 1:2132 RETREAT CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2256
Practice Address - Country:US
Practice Address - Phone:757-463-5240
Practice Address - Fax:757-463-6572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101222715207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty