Joellen M. Hoth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17292 Issued in IA

Practice address

515 N 3Rd St
Burlington, IA 52601-5227

Phone

(319) 753-1619

Fax

(319) 753-1170

NPI assigned

Jan 11, 2006

Last updated

Dec 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great River Medical Services

  dba Burlington Area Family Practice Center

  • Family Medicine Physician
  • West Burlington, IA
  • NPI 1417025230
  NPD (past)
• Innovaire Primary Health PLLC

  • Primary Care Nurse Practitioner
  • Burlington, IA
  • NPI 1871324038
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1013996875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015227",
            "telephone_number": "319-753-1619",
            "fax_number": "319-753-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526015227",
            "telephone_number": "319-753-1619",
            "fax_number": "319-753-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTH",
        "first_name": "JOELLEN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "17292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014787",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01478",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Haven Area Development Center Corporation
• Hope Haven Area Development Center Corporation
• Hope Haven Area Development Center Corporation
• Hope Haven Area Development Center Corporation
• Hope Haven Cottonwood
• Kelly S Huber, TLMHC
• Patty S. Huebner-Vaughan, LISW
• Desmonica R Huffman
• Allie Logan Hunter, BS
• HW Holdings (All About Eyes)

• Family Medicine Physician in Burlington, IA
• Providers in Burlington, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.