East Holmes Family Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST HOLMES FAMILY CARE INC

Practice address

2040 TR 661
Dundee, OH 44624

Phone

(330) 359-5989

Fax

(330) 359-3590

NPI assigned

Apr 10, 2007

Last updated

Jul 1, 2014By 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

Dr. Robert Kim Kornhaus, MD

Title

Treasurer-Physician

Phone

(330) 893-3771

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• East Holmes Family Care Inc

  • Family Medicine Physician
  • Berlin, OH
  • NPI 1164411765

  O20040712000818

  Same enrollment
• East Holmes Family Care Inc

  • Family Medicine Physician
  • Baltic, OH
  • NPI 1427171693

  O20040712000818

  Same enrollment
• East Holmes Family Care Inc

  • Family Medicine Physician
  • Walnut Creek, OH
  • NPI 1902929177

  O20040712000818

  Same enrollment

Practitioners 2

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.

• Virginia M.K. Beachy, M.D.

  • Family Medicine Physician
  • Berlin, OH
  • NPI 1942889480
  NPD
• Carrie Schlabach, FNP-C

  • Family Nurse Practitioner
  • Berlin, OH
  • NPI 1093247017
  NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1790808970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "44610",
            "telephone_number": "330-359-5989",
            "fax_number": "330-359-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 TR 661",
            "city": "DUNDEE",
            "state": "OH",
            "postal_code": "44624",
            "telephone_number": "330-359-5989",
            "fax_number": "330-359-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HOLMES FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "KORNHAUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "TREASURER-PHYSICIAN",
        "authorized_official_telephone_number": "330-893-3771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Beachy, LPCC
• Emily Mugler Biondi, CNM
• Megan Bowers
• Renee Dawn Bright, PCC
• Billie Joe Corso, APRN, RN
• Debra J Estep, LPN
• Candace Fiddler
• Heather Gribble
• Angela Dawn Hess, APRN
• Tiffany Marie Ingersoll, P.C.C.

• Family Medicine Physician in Dundee, OH
• Providers in Dundee, 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 Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.