Individual provider Active NPI

Andrew E Hosman, PA-C

  • Medical Physician Assistant
  • Macedonia, IL
National Provider Identifier
1922318732
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085003890 Issued in IL
Practice address
13643 N Thompsonville Rd
Macedonia, IL 62860-1184
Phone
(618) 435-9447
NPI assigned
Oct 14, 2010
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085003890 IL Primary

Addresses

Primary practice location

13643 N Thompsonville Rd
Macedonia, IL 62860-1184

Mailing address

13643 N Thompsonville Rd
Macedonia, IL 62860-1184
Phone (618) 435-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000429 IL Practitioner - Physician Assistant 6002004348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085003890ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisburg Medical Center Inc Current Accepting new patients
Harrisburg Medical Center Inc CurrentSince Oct 12, 2022 Accepting new patients
Harrisburg Medical Center Inc Past Accepting new patients

Locations

1007 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-7723

3106 Outer Dr
Marion, IL 62959
Phone (618) 997-4332

Interoperability endpoints

  • Direct secure messaging: andrewhosman@hbmc.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1922318732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13643 N THOMPSONVILLE RD",
            "city": "MACEDONIA",
            "state": "IL",
            "postal_code": "628601184",
            "telephone_number": "618-435-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13643 N THOMPSONVILLE RD",
            "city": "MACEDONIA",
            "state": "IL",
            "postal_code": "628601184",
            "telephone_number": "618-435-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSMAN",
        "first_name": "ANDREW",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.