Healthcare Provider Details

I. General information

NPI: 1922041037
Provider Name (Legal Business Name): ROBERT B HINTON JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE 5021
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE 5021
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4432
  • Fax: 513-636-3956
Mailing address:
  • Phone: 513-636-4432
  • Fax: 513-636-3956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number35.081053
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: