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Organization Active NPI

Hospitalist Services Medical Group of Hamilton, Inc.

Doing business as Hospitalist Services Medical Group of Hamilton, Inc./Ft. Hamilton Hosp

  • Internal Medicine Physician
  • Hamilton, OH
National Provider Identifier
1730174087
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1429528 Issued in OH
Legal business name
HOSPITALIST SERVICES MEDICAL GROUP OF HAMILTON, INC.
Doing business as
Hospitalist Services Medical Group of Hamilton, Inc./Ft. Hamilton Hosp
Practice address
630 Eaton Ave
Hamilton, OH 45013-2767
Phone
(513) 867-2000
NPI assigned
Sep 13, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Paul W Kolodzik, MDNPI 1760422869
Title
Coo
Phone
(800) 726-3627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1429528 OH Primary

Addresses

Primary practice location

630 Eaton Ave
Hamilton, OH 45013-2767

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 3

IdentifierTypeStateIssuer
2482620MedicaidOH
203436OtherOHEEOICP GRP PROVIDER #
DB6528OtherOHGROUP RRMEDICARE NUMBER

Other names 1

  • Hospitalist Services Medical Group of Hamilton, Inc./Ft. Hamilton Hosp Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1730174087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EATON AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132767",
            "telephone_number": "513-867-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALIST SERVICES MEDICAL GROUP OF HAMILTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOLODZIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-726-3627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "1429528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482620",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEOICP GRP PROVIDER #",
            "identifier": "203436",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RRMEDICARE NUMBER",
            "identifier": "DB6528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospitalist Services Medical Group of Hamilton, Inc./Ft. Hamilton Hosp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.