Provider Demographics
NPI:1992705552
Name:HINDMAN, ROBERT W (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:HINDMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 REECEVILLE RD
Mailing Address - Street 2:STE 36
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1546
Mailing Address - Country:US
Mailing Address - Phone:610-383-6033
Mailing Address - Fax:610-383-7968
Practice Address - Street 1:231 REECEVILLE RD
Practice Address - Street 2:STE 36
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1546
Practice Address - Country:US
Practice Address - Phone:610-383-6033
Practice Address - Fax:610-383-7968
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009641L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019672910001Medicaid
PAOS009641LOtherSTATE MEDICAL LICENSE
BH5805330OtherDEA LICENSE
H85741Medicare UPIN
PAOS009641LOtherSTATE MEDICAL LICENSE