Robert Kim Kornhaus (NPI# 1376524892, PAC ID# 3779561147) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1376524892 |
| PAC ID by PECOS | 3779561147 |
| Professional Enrollment ID | I20041202000633 |
| Full Name | Robert Kim Kornhaus |
| Organization Legal Name | EAST HOLMES FAMILY CARE INC |
| Address |
103 E Main St Baltic OH 43804 |
| Phone Number | 3308974211 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4587642947 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360148 | POMERENE HOSPITAL |
| 360010 | UNION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 103 E Main St, Baltic, OH 43804 | 3308974211 | EAST HOLMES FAMILY CARE INC |
| 4907 A Dalbey Ln, Berlin, OH 44610 | 3308932341 | EAST HOLMES FAMILY CARE INC |
| 4981 Walnut St, Walnut Creek, OH 44687 | 3308932431 | EAST HOLMES FAMILY CARE INC |
| 2040 Township Rd, Suite 661, Winesburg, OH 44690 | 3303595989 | EAST HOLMES FAMILY CARE INC |
| Organization Legal Name | EAST HOLMES FAMILY CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Hofstetter | Nurse Practitioner | East Holmes Family Care Inc | 4981 Walnut St, Walnut Creek, OH 44687 |
| Zachary T Boyd | Family Medicine | East Holmes Family Care Inc | 103 E Main St, Baltic, OH 43804 |
| Jon Eric Miller | Family Medicine | East Holmes Family Care Inc | 4907 A Dalbey Ln, Berlin, OH 44610 |
| Kim Edward Boyd | Family Medicine | East Holmes Family Care Inc | 4907 A Dalbey Ln, Berlin, OH 44610 |
| Street Address |
103 E MAIN ST |
| City | BALTIC |
| State | OH |
| Zip | 43804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary T Boyd | Family Medicine | East Holmes Family Care Inc | 103 E Main St, Baltic, OH 43804 |
| James William Leonette | Chiropractic | Enliven Chiropractic Pllc | 103 E Main St, Suite 3, Bridgeport, WV 26330-1797 |
| Channing Harwood | Physical Therapy | Anb-ptsma Holdings Inc | 103 E Main St, Unit C, Plainville, CT 06062-1968 |
| Michael P Smith | Chiropractic | 103 E Main St, Luverne, MN 56156-1830 | |
| Jeffrey W Holt | Chiropractic | 103 E Main St, Holt Chiropractic and Decompression Center, Mountain View, AR 72560-6407 | |
| Michael Albert Krukiel | Physical Therapy | Anb-ptsma Holdings Inc | 103 E Main St, Unit C, Plainville, CT 06062-1968 |
| Kevin M Connellan | Physical Therapy | Anb-ptsma Holdings Inc | 103 E Main St, Unit C, Plainville, CT 06062-1968 |
| Christopher L Martin | Physical Therapy | Anb-ptsma Holdings, Inc. | 103 E Main St, Plainville, CT 06062-1968 |
| City | BALTIC |
| Zip Code | 43804 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BALTIC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert Kim Kornhaus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.