Individual provider Active NPI

Hobart Heath

  • Family Medicine Physician
  • Lebanon, PA
National Provider Identifier
1104352210
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT017730 Issued in PA
Practice address
30 N 4TH St FL 2
Lebanon, PA 17046-5606
Phone
(717) 270-1949
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OT017730 PA Primary

Addresses

Primary practice location

30 N 4TH St FL 2
Lebanon, PA 17046-5606

Mailing address

30 N 4TH St FL 2
Lebanon, PA 17046-5606
Phone (717) 270-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029001049 CA Practitioner - Family Practice 3476898339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 529-8000

Hospital & facility affiliations

  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue397
Removal of skin lesions31
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18236CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Aug 23, 2020 Accepting new patients
Vohra Wound Physicians of Ca, P.C. Family Medicine CurrentSince Jul 14, 2025 Accepting new patients

Locations

350 Calloway Dr
Bldg C
Bakersfield, CA 93312
Phone (661) 587-0182

9028 Rose St
Bellflower, CA 90706
Phone (562) 925-4252

12461 Springdale St
Garden Grove, CA 92845
Phone (714) 933-7560

361 E Grangeville Blvd
Hanford, CA 93230
Phone (559) 582-9221

1617 Ramirez St
Marysville, CA 95901
Phone (530) 742-4311

1275 Crane St
Menlo Park, CA 94025
Phone (510) 481-3206

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

180 N Jackson Ave
San Jose, CA 95116
Phone (408) 253-9034

2566 Treasure Dr
Santa Barbara, CA 93105
Phone (805) 687-0701

2280 Dockery Ave
Selma, CA 93662
Phone (559) 896-4900

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1449 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 939-5820

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1104352210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 4TH ST FL 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465606",
            "telephone_number": "717-270-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 4TH ST FL 2",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465606",
            "telephone_number": "717-270-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "HOBART",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT017730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.