Active NPI
Brittany Ann Homan, PA
- Physician Assistant
- Coldwater, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.005955RX
- Practice address
- 800 W Main St
Coldwater, OH 45828-1613 - Phone
- (260) 344-4035
- NPI assigned
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
OH
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Internal Medicine Physician
- Fort Wayne, IN
- NPI 1578147724
Physician Assistant
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Health Specialists Inc
Practice addresses (Care Compare)
1 Wyoming St
Berry Women'S Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381
2400 Miami Valley Dr
Centerville, OH 45459-4774
30 E Apple St
Dayton, OH 45409-2939
3130 N Count Rd
Troy, OH 45373-1337
450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773
9000 N Main St
Englewood, OH 45415-1180
Phone (937) 734-6784
9000 N Main St
Englewood, OH 45415-1184
Hospital & facility affiliations
- Upper Valley Medical Center
- Miami Valley Hospital
- Grand Lake Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190430002914 | OH | Practitioner - Physician Assistant | 3577805134 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Care Group, P.C. | Physician Assistant | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
30 E Apple St
Ste 5254
Dayton, OH 45409
Phone (844) 277-2894
9000 N Main St
Ste 238
Englewood, OH 45415
Phone (937) 832-0006
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
3130 N County Road 25A
Ste 114
Troy, OH 45373
Phone (937) 440-7665
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.005955RX | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
800 W Main St
Coldwater, OH 45828-1613
Mailing address
6435 W Jefferson Blvd PMB 109
Fort Wayne, IN 46804-6203
Phone (260) 344-4035
Other names 1
NPPES NPI Registry- Brittany Ann Sudhoff
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2019.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1982160065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD PMB 109",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-344-4035",
"fax_number": "260-969-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"city": "COLDWATER",
"state": "OH",
"postal_code": "458281613",
"telephone_number": "260-344-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "BRITTANY",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005955RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "SUDHOFF",
"middle_name": "ANN",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coldwater, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.