Basic Information
| Provider Information | |||||||||
| NPI: | 1033361100 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BILLHYMER | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | EDWARD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3126 N CIVIC CENTER PLZ | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852516912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808742040 | ||||||||
| FaxNumber: | 4808742041 | ||||||||
| Practice Location | |||||||||
| Address1: | 3126 N CIVIC CENTER PLZ | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852516912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808742040 | ||||||||
| FaxNumber: | 4808742041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2008 | ||||||||
| LastUpdateDate: | 07/22/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 49166 | AZ | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 338425 | 01 | FL | AVMED | OTHER | 9950517 | 01 | FL | AETNA | OTHER | PENDING | 05 | FL | MEDICAID | 148L5 | 01 | FL | BC/BS | OTHER | 2161755 | 01 | FL | CIGNA | OTHER |