Hetrickkoenighealth, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HETRICKKOENIGHEALTH, LLC

Practice address

885 High St Ste 107
Worthington, OH 43085-4158

Phone

(614) 368-7070

Fax

(614) 957-8610

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer E Hetrick, MDNPI 1669685004

Title

Physician/Owner

Phone

(646) 831-8044

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jennifer Ellen Hetrick, M.D.

  • Family Medicine Physician
  • Worthington, OH
  • NPI 1669685004
  NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1154963999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 THORNE ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852431",
            "telephone_number": "646-831-8044",
            "fax_number": "614-957-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HIGH ST STE 107",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854158",
            "telephone_number": "614-368-7070",
            "fax_number": "614-957-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HETRICKKOENIGHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "646-831-8044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie Herron
• Holly Herron, MSW, LSW
• Michael Brandon Hershner
• Maxwell Hess
• Jennifer Ellen Hetrick, M.D.
• Geri D Hewitt, MD
• Marisa Hexamer
• Jacob Heyob
• Hhci Service, Inc.
• HHCS, Inc. (Heritage Health Care)

• Family Medicine Physician in Worthington, OH
• Providers in Worthington, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.