Healthcare Provider Details
I. General information
NPI: 1275973984
Provider Name (Legal Business Name): OHIO HOSPITALIST PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2013
Last Update Date: 06/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 COSHOCTON AVE
MOUNT VERNON OH
43050-1440
US
IV. Provider business mailing address
861 SW 78TH AVE 200B
PLANTATION FL
33324-3273
US
V. Phone/Fax
- Phone: 740-399-3163
- Fax:
- Phone: 877-693-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
S.
SCHILLINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 877-693-5700