Individual
JOHN TAYLOR HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7801
(317) 621-7205
Mailing address
8352 SKIPJACK DR, INDIANAPOLIS, IN 46236-9582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000625A
IN
207Q00000X
Family Medicine Physician
34.002611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01157056
RR MEDICARE PTAN
IN
Enumeration date
07/05/2006
Last updated
06/07/2019
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