Healthcare Provider Details

I. General information

NPI: 1215936794
Provider Name (Legal Business Name): JAMES R HINES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 N MICHIGAN AVE
SAGINAW MI
48602-4323
US

IV. Provider business mailing address

926 N MICHIGAN AVE
SAGINAW MI
48602-4323
US

V. Phone/Fax

Practice location:
  • Phone: 989-753-8453
  • Fax: 989-753-3519
Mailing address:
  • Phone: 989-753-8453
  • Fax: 989-753-3519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301052217
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: