Healthcare Provider Details
I. General information
NPI: 1629087689
Provider Name (Legal Business Name): HILLTOP PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2006
Last Update Date: 09/11/2025
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6103 HAMILTON AVE
CINCINNATI OH
45224
US
IV. Provider business mailing address
6103 HAMILTON AVE
CINCINNATI OH
45224
US
V. Phone/Fax
- Phone: 513-681-6667
- Fax: 513-853-3902
- Phone: 513-681-6667
- Fax: 513-853-3902
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | 53252 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 35.034849 |
| License Number State | OH |
VIII. Authorized Official
Name: MR.
JAMES
IRA
FIDEL HOLTZ
Title or Position: OWNER
Credential: MD
Phone: 513-681-6667