MEDICARE: ANDREA C HINTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician	39738	KY
2	207VM0101X	Maternal & Fetal Medicine Physician	35081343H	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639177199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA C HINTON MD

Provider Business Mailing Address
First Line	:	4685 FOREST AVE C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3359
Country	:	US
Telephone Number	:	513-853-4731
Fax Number	:	513-852-8525

Provider Business Practice Location Address
First Line	:	375 DIXMYTH AVE
Second Line	:	8TH FLOOR
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2475
Country	:	US
Telephone Number	:	513-862-6200
Fax Number	:	513-862-4358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	11/15/2019

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