Provider Demographics
NPI:1932178738
Name:HILL, JAMES B (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 S FLEISHEL AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701
Practice Address - Country:US
Practice Address - Phone:903-606-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057378207VM0101X
TXR0021207VM0101X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX861943OtherMEDICARE
VAPAROtherAETNA
VA408897OtherANTHEM BC/BS
VAPAROtherMULTIPLAN
VA-010OtherTRICARE/CHAMPUS
VA1932178738Medicaid
VAPAROtherUNITED HEALTH CARE/MAMSI
VAPAROtherUSA MANAGED CARE
VAPAROtherCIGNA
VAPAROtherCORVEL/CORCARE
TX363101203Medicaid
VAPAROtherVA PREMIER HEALTH
VA408906OtherANTHEM BC/BS
VAPAROtherFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
VAPAROtherVIRGINIA HEALTH NETWORK
VA10061740OtherOPTIMA HEALTH
VA-010OtherTRICARE/CHAMPUS
VAPAROtherFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH