HOSPITAL SERVICES MEDICAL GROUP OF CLARK COUNTY INC (NPI# 1588659841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588659841 |
| Entity Type | Organization |
| Organization Name | HOSPITAL SERVICES MEDICAL GROUP OF CLARK COUNTY INC |
| Practice Address |
2615 E High St Springfield OH 45505-1412 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 9373250531 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194342 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | PAUL W KOLODZIK (COO) |
| Authorized Official Telephone | 8007263627 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 1429529 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | FBLP GRP PROVIDER NUMBER | 020406300 | 01 |
| OH | 2490844 | 05 | |
| OH | DOL GRP PROVIDER NUMBER | 202763100 | 01 |
| OH | EEOICP GRP PROVIDER # | 203409 | 01 |
| Street Address |
2615 E HIGH ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932485398 | David Summers | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2011-10-31 |
| 1790060481 | Jennifer Lynn Day | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2011-10-13 |
| 1053695767 | Robert D Lovejoy | Nurse Anesthetist, Certified Registered | 2615 E High St, Springfield, OH 45505-1412 | 2011-09-30 |
| 1609159706 | Dawn Marie Sanders | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2011-09-25 |
| 1417276429 | Northstar Anesthesia of Ohio LLC | Anesthesiology | 2615 E High St, Springfield, OH 45505-1412 | 2010-06-01 |
| 1396067732 | Sound Inpatient Physicians of Ohio, LLC | Family Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2010-02-26 |
| 1932434875 | Musarat Chaudhry | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2009-10-09 |
| 1942329560 | Tangi N. Pergram | Physical Therapist | 2615 E High St, Occupational Health & Medicine, Springfield, OH 45505-1412 | 2007-03-28 |
| 1982751244 | Shahid Bashir | Internal Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2007-01-05 |
| 1174680870 | Springfield Pulmonary Inc | Internal Medicine | 2615 E High St, Suite 1350, Springfield, OH 45505-1412 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
| 1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
| 1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
| 1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
| 1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
| 1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
| 1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.