Healthcare Provider Details

I. General information

NPI: 1457322745
Provider Name (Legal Business Name): GREGORY REX HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 KENYON ROAD
FORT DODGE IA
50501
US

IV. Provider business mailing address

575 N SIOUX POINT ROAD
DAKOTA DUNES SD
57049-5312
US

V. Phone/Fax

Practice location:
  • Phone: 605-217-2667
  • Fax: 605-217-2900
Mailing address:
  • Phone: 605-217-2667
  • Fax: 605-217-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD-35185
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: