Viktoria Maximiliane Hasselhof, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.137471 Issued in OH

Practice address

110 W Homestead St
Medina, OH 44256-3128

Phone

(929) 383-9171

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, NH2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lane County Oregon

  • Federally Qualified Health Center (FQHC)
  • Springfield, OR
  • NPI 1326138314
  Medicare reassignment NPD
• Huggins Hospital

  • Critical Access Hospital
  • Wolfeboro, NH
  • NPI 1366476079
  Medicare reassignment NPD (past)
• Huggins Hospital

  • Family Medicine Physician
  • Moultonborough, NH
  • NPI 1639166077
  NPD
• Huggins Hospital

  • Hematology & Oncology Physician
  • Wolfeboro, NH
  • NPI 1942018353
  NPD
• Mercy Health Physicians Youngstown LLC

  • Durable Medical Equipment & Medical Supplies
  • Boardman, OH
  • NPI 1750920245
  NPD (past)
• Mercy Health Physicians Youngstown, LLC

  • Family Medicine Physician
  • Youngstown, OH
  • NPI 1154636066
  NPD (past)
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)

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

• Huggins Hospital

  • Critical Access Hospital
  • Wolfeboro, NH
  • NPI 1366476079
  Care Compare affiliation
• Huggins Hospital

  • Family Medicine Physician
  • Moultonborough, NH
  • NPI 1639166077

  Hospital

  Care Compare affiliation
• Huggins Hospital

  • Family Medicine Physician
  • Alton, NH
  • NPI 1871534792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1306379342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W HOMESTEAD ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563128",
            "telephone_number": "929-383-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W HOMESTEAD ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563128",
            "telephone_number": "929-383-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8423 Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126778",
            "country_code": "US",
            "telephone_number": "330-729-8749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Walworth",
            "state": "WI",
            "postal_code": "531849512",
            "country_code": "US",
            "telephone_number": "262-275-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSELHOF",
        "first_name": "VIKTORIA",
        "middle_name": "MAXIMILIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "12244",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "77112",
            "primary": false
        },
        {
            "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": "OH",
            "license": "35.137471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206688",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Hartley, PT, ATC
• Renee M Hartley, PRS
• Harvest Grove LTC LLC
• Harvest Grove LTC, LLC
• Meilssa A Haselroth
• Hastings Home Health Center, Inc
• Evan John Hathcock
• Whitney Ruth Hatton
• Carrie Hau
• Emma Catherine Hauschild

• Family Medicine Physician in Medina, OH
• Providers in Medina, 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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.