Mark E Hostettler (NPI# 1265431753, PAC ID# 8325020167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265431753 |
| PAC ID by PECOS | 8325020167 |
| Professional Enrollment ID | I20060905000476 |
| Full Name | Mark E Hostettler |
| Organization Legal Name | MANOR MANAGEMENT CO INC |
| Address |
1168 Alliance Rd Minerva OH 44657-8736 |
| Phone Number | 3308683711 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7012911209 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360131 | ALLIANCE COMMUNITY HOSPITAL |
| 360084 | AULTMAN HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4080 Holiday St Nw, Canton, OH 44718-2513 | 3304928117 | MANOR MANAGEMENT CO INC |
| 1168 Alliance Rd, Minerva, OH 44657-8736 | 3308683711 | MANOR MANAGEMENT CO INC |
| Organization Legal Name | MANOR MANAGEMENT CO INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela A Rodocoy | Internal Medicine | Manor Management Co Inc | 4080 Holiday St Nw, Canton, OH 44718-2513 |
| David B Kimbell | Internal Medicine | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
| Quinn M Repp | Physician Assistant | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
| Matthew Scott Gooch | Nurse Practitioner | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
| Jacquelyn Marie Dennis | Nurse Practitioner | Manor Management Co Inc | 1207 W State St, Suite N, Alliance, OH 44601-4631 |
| Street Address |
1168 ALLIANCE RD |
| City | MINERVA |
| State | OH |
| Zip | 44657-8736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Kimbell | Internal Medicine | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
| Quinn M Repp | Physician Assistant | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
| Matthew Scott Gooch | Nurse Practitioner | Manor Management Co Inc | 1168 Alliance Rd, Minerva, OH 44657-8736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Barr | Family Medicine | Pioneer Physicians Network Inc | 1028 E Lincolnway, Minerva, OH 44657-1216 |
| Todd A Davis | Chiropractic | 200 W Lincolnway, Minerva, OH 44657-1465 | |
| Perry Lieberman | Optometry | 206 N Market St, Minerva, OH 44657-1673 | |
| Ted A Rath | Optometry | 1174 Alliance Rd Nw, Minerva, OH 44657-8736 | |
| Robert Didomenico | Chiropractic | 1164 Alliance Rd Nw, Minerva, OH 44657-8736 | |
| Linda M Didomenico | Podiatry | 1164 Alliance Rd Nw, Minerva, OH 44657-8736 |
| City | MINERVA |
| Zip Code | 44657 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MINERVA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark E Hostettler.
| 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.