Jonathan Hollister (NPI# 1487621652, PAC ID# 4880627256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1487621652 |
| PAC ID by PECOS | 4880627256 |
| Professional Enrollment ID | I20050915000778 |
| Full Name | Jonathan Hollister |
| Organization Legal Name | CENTRAL OHIO GERIATRICS, LLC |
| Address |
590 Newark Granville Rd Granville OH 43023-1436 |
| Phone Number | 8885317444 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 7517015373 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360092 | MEMORIAL HOSPITAL |
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| 360218 | LICKING MEMORIAL HOSPITAL |
| 360035 | MOUNT CARMEL WEST |
| 360159 | ADENA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 590 Newark Granville Rd, Granville, OH 43023-1436 | 8885317444 | CENTRAL OHIO GERIATRICS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 100% | |
| MIPS_EC_283_overall | Dementia: Neuropsychiatric Symptom Assessment | 100% |
| Organization Legal Name | CENTRAL OHIO GERIATRICS, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sue Ann Maughmer | Nurse Practitioner | Central Ohio Geriatrics, LLC | 717 Neil Ave, Columbus, OH 43215-1609 |
| Katherine L Montanaro | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Tara Dillon | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Caryn Elizabeth Gorby | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Chad Douglas Wittekind | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Peter D Hucek | Family Medicine | Central Ohio Geriatrics, LLC | 6000 Riverside Dr, Dublin, OH 43017-1492 |
| Stuart Kanter | Family Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| John M Weigand | Family Medicine | Central Ohio Geriatrics, LLC | 6000 Riverside Dr, Dublin, OH 43017-1492 |
| Nicole R Carrier | Physician Assistant | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Kimberly Potter | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Street Address |
590 NEWARK GRANVILLE RD |
| City | GRANVILLE |
| State | OH |
| Zip | 43023-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Montanaro | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Tara Dillon | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Caryn Elizabeth Gorby | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Chad Douglas Wittekind | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Stuart Kanter | Family Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Nicole R Carrier | Physician Assistant | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Kimberly Potter | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Jerome M Kong | Internal Medicine | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Amy J Smutylo | Nurse Practitioner | Central Ohio Geriatrics, LLC | 590 Newark Granville Rd, Granville, OH 43023-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Hamilton | Podiatry | 2158 Columbus Rd, Granville, OH 43023-1242 | |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Kevin T Graham | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Navin Muni | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Sarah Dorsky | Nurse Practitioner | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Andre De Leon | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Aaron J Kibler | Family Practice | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Dustin C Zimpfer | Chiropractic | 230 Broadway E, Suite 150, Granville, OH 43023-1363 | |
| Kelley Jo Breidigan | Clinical Social Worker | 128 S Main St, Granville, OH 43023-1409 | |
| Karen H Berdan | Optometry | 205 /2 S Prospect St, Granville, OH 43023-1423 | |
| Find all physicians in zip 43023 | |||
| City | GRANVILLE |
| Zip Code | 43023 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | GRANVILLE + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Jonathan Hollister.
| 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.