Holly A Mast (NPI# 1407101728, PAC ID# 3870742661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407101728 |
| PAC ID by PECOS | 3870742661 |
| Professional Enrollment ID | I20121011000662 |
| Full Name | Holly A Mast |
| Organization Legal Name | KNOX COMMUNITY HOSPITAL |
| Address |
16361 Village Pkwy Fredericktown OH 43019-9585 |
| Phone Number | 7403993863 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153301833 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360040 | KNOX COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16361 Village Pkwy, Fredericktown, OH 43019-9585 | 7403993863 | KNOX COMMUNITY HOSPITAL |
| 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 7403939019 | KNOX COMMUNITY HOSPITAL |
| 1330 Coshocton Ave, Fl 5, Mount Vernon, OH 43050-1440 | KNOX COMMUNITY HOSPITAL |
| Organization Legal Name | KNOX COMMUNITY HOSPITAL |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara L Holzer | General Surgery | Knox Community Hospital | Dept of Specialty Care - General Surgery, 1451 Yauger Rd 2a, Mount Vernon, OH 43050-7905 |
| Kristen N Witham | Obstetrics/gynecology | Knox Community Hospital | 1320 Coshocton Ave, A, Mount Vernon, OH 43050-6400 |
| Laura A Eichenlaub | Nurse Practitioner | Knox Community Hospital | 4581 Columbus Rd, Centerburg, OH 43011-9401 |
| Kori L Kirkhope | Nurse Practitioner | Knox Community Hospital | 1490 Coshocton, Suite B, Mount Vernon, OH 43050-6099 |
| Zachary M Gatton | Anesthesiology | Knox Community Hospital | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 |
| Amber L Daugherty | Family Medicine | Knox Community Hospital | 16361 Village Pkwy, Fredericktown, OH 43019-9585 |
| Elizabeth E Klenk | Internal Medicine | Knox Community Hospital | 1661 Venture Dr, Mount Vernon, OH 43050-8928 |
| Robert A Atwell | Podiatry | Knox Community Hospital | 809 Coshocton Ave A, Mount Vernon, OH 43050-1900 |
| Daniel L Smith | Family Practice | Knox Community Hospital | 1330 Coshocton Rd, Mount Vernon, OH 43050-1440 |
| Gilford S Vincent Sr. | Vascular Surgery | Knox Community Hospital | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 |
| Street Address |
16361 VILLAGE PKWY |
| City | FREDERICKTOWN |
| State | OH |
| Zip | 43019-9585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Daugherty | Family Medicine | Knox Community Hospital | 16361 Village Pkwy, Fredericktown, OH 43019-9585 |
| Eric A Hansen | Family Medicine | Knox Community Hospital | 16361 Village Pkwy, Fredericktown, OH 43019-9585 |
| Sarah Jackson | Nurse Practitioner | Knox Community Hospital | 16361 Village Pkwy, Fredericktown, OH 43019-9585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Walker | Chiropractic | 168 Salem Ave, Fredericktown, OH 43019-1024 | |
| David M Lamport | Physician Assistant | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| Laura S Segraves | Nurse Practitioner | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| Deborah J Samples | Nurse Practitioner | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| William A Elder | Family Medicine | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| Ashlee N Armstrong | Nurse Practitioner | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| Aaron L Wilson | Family Medicine | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| City | FREDERICKTOWN |
| Zip Code | 43019 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FREDERICKTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly A Mast.
| 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.