Provider Demographics
NPI:1295882405
Name:HINMAN, BARBARA JILL I (PHYSICIAN ASSISTANT-)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JILL
Last Name:HINMAN
Suffix:I
Gender:F
Credentials:PHYSICIAN ASSISTANT-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 POINTE WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5532
Mailing Address - Country:US
Mailing Address - Phone:941-792-1404
Mailing Address - Fax:941-794-1863
Practice Address - Street 1:6015 POINTE WEST BLVD
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5532
Practice Address - Country:US
Practice Address - Phone:941-792-1404
Practice Address - Fax:941-794-1863
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104165363A00000X
SCA524-IM363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264533500Medicaid
FLAH378ZMedicare PIN
FL264533500Medicaid