Tracey E Hoelzle, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

3588097 Issued in OH

Practice address

112 Independence Way
Suite 160
Clyde, OH 43410-9811

Phone

(419) 502-3534

Fax

(567) 855-5231

NPI assigned

May 18, 2007

Last updated

Mar 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bowling Green State University

  dba Student Health Service

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1699707687
  NPD (past)
• Northern Ohio Medical Specialists, LLC

  dba NOMS Premium Imaging Center

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1366650939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INDEPENDENCE WAY",
            "address_2": "SUITE 160",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434109811",
            "telephone_number": "419-502-3534",
            "fax_number": "567-855-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELZLE",
        "first_name": "TRACEY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "3588097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Home Care, LLC (ProMedica Home Health Care)
• Heritage Village of Clyde Oh Opco LLC (Majestic Care of Clyde)
• Julianna Marie Hermes, P.T.
• Daniel A Herring, DO
• Tamara Ann Hill, LPN
• Vanessa Lynn Hohler
• Victoria Ann Holmes, COTAL
• Misty M Homler
• Eva Jean Hooven, RN
• Karen Horn, RN

• Psychiatry Physician in Clyde, OH
• Providers in Clyde, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.