Whitney Hofstetter (NPI# 1689115784, PAC ID# 7315214749) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689115784 |
| PAC ID by PECOS | 7315214749 |
| Professional Enrollment ID | I20170606001575 |
| Full Name | Whitney Hofstetter |
| Organization Legal Name | EAST HOLMES FAMILY CARE INC |
| Address |
4981 Walnut St Walnut Creek OH 44687 |
| Phone Number | 3308932431 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 4981 Walnut St, Walnut Creek, OH 44687 | 3308932431 | EAST HOLMES FAMILY CARE INC |
| Organization Legal Name | EAST HOLMES FAMILY CARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Robert Kim Kornhaus | Family Medicine | East Holmes Family Care Inc | 103 E Main St, Baltic, OH 43804 |
| Kim Edward Boyd | Family Medicine | East Holmes Family Care Inc | 4907 A Dalbey Ln, Berlin, OH 44610 |
| Street Address |
4981 WALNUT ST |
| City | WALNUT CREEK |
| State | OH |
| Zip | 44687 |
| City | WALNUT CREEK |
| Zip Code | 44687 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WALNUT CREEK + NURSE PRACTITIONER |
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| 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.