J. Grant Hormell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD040654L Issued in PA

Practice address

2612 Pleasant Valley Blvd
Altoona, PA 16602-4420

Phone

(814) 944-9355

Fax

(814) 696-0808

NPI assigned

Jul 26, 2005

Sex

Male

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 1

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 and National Provider Directory roles.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1073513669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024420",
            "telephone_number": "814-944-9355",
            "fax_number": "814-696-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024420",
            "telephone_number": "814-944-9355",
            "fax_number": "814-696-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMELL",
        "first_name": "J.",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD040654L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012449780006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly A Hoover
• Michael Eric Hoover, DMD
• Polly Hoover
• Cassandra Horell
• Melissa A Horell, RN, BSN
• Rachel Marie Hornberger
• Denise Horner
• Shereen E Horton, MSW
• Rachael Joy Hosgood
• Hospice Preferred Choice, Inc.

• Family Medicine Physician in Altoona, PA
• Providers in Altoona, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.