MEDICARE: DOCTORS HOSPITAL PHYSICIAN SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2	2086S0129X	Vascular Surgery Physician
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801858501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS HOSPITAL PHYSICIAN SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:	866-647-5068
Fax Number	:	615-465-2972

Provider Business Practice Location Address
First Line	:	3545 LINCOLN WAY E
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-8624
Country	:	US
Telephone Number	:	330-837-4737
Fax Number	:	330-837-4759

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SOPHIA L ARWOOD
Credential	:
Telephone Number	:	615-628-6038

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	06/05/2015

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Directions to “DOCTORS HOSPITAL PHYSICIAN SERVICES LLC ” Practice Location

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