Healthcare Provider Details

I. General information

NPI: 1083605927
Provider Name (Legal Business Name): PAMELA KAY HILTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 NORTHCLIFF AVE SUITE 307
BROOKLYN OH
44144-3267
US

IV. Provider business mailing address

19475 CAVENDISH CT
NORTH ROYALTON OH
44133-6117
US

V. Phone/Fax

Practice location:
  • Phone: 216-749-8277
  • Fax: 216-749-8273
Mailing address:
  • Phone: 440-237-9347
  • Fax: 216-749-8273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35-05-3099-H
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: