Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jake Thomas Hillyer, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609455294

Dr. Jake Thomas Hillyer, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849
Phone: (602) 839-3927
Fax: (602) 839-4233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 73038 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609455294
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2021
Last updated in NPPESJune 15, 2024
Certification dateJune 15, 2024

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