Healthcare Provider Details

I. General information

NPI: 1699733170
Provider Name (Legal Business Name): HOSPITALIST ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 11/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S CLEVELAND AVE
WESTERVILLE OH
43081-8971
US

IV. Provider business mailing address

PO BOX 73118
CLEVELAND OH
44193-0002
US

V. Phone/Fax

Practice location:
  • Phone: 740-323-0272
  • Fax:
Mailing address:
  • Phone: 800-655-2656
  • Fax: 412-822-7411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: GEOFFREY POLEN
Title or Position: PRESIDENT
Credential: MD
Phone: 800-655-2656