NPIMap

Organization Active NPI

Hospital Medicine Services of Ohio, Inc.

  • Hospitalist Physician
  • Mount Gilead, OH
National Provider Identifier
1073781597
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
HOSPITAL MEDICINE SERVICES OF OHIO, INC.
Practice address
651 W Marion Rd
Mount Gilead, OH 43338-1027
Phone
(419) 946-5015
Fax
(865) 291-3254
NPI assigned
Feb 19, 2008
Last updated
Nov 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Laura L Dollison, D.O.
Title
Owner
Phone
(856) 686-4304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

651 W Marion Rd
Mount Gilead, OH 43338-1027

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000293 OH Part B Supplier - Clinic/Group Practice 6103997747 Receives reassigned benefits from 70 practitioners
Practice locations: Willard, OH; Wilmington, OH; Tiffin, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1073781597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4316",
            "fax_number": "865-291-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W MARION RD",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381027",
            "telephone_number": "419-946-5015",
            "fax_number": "865-291-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL MEDICINE SERVICES OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "DOLLISON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-686-4304",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.