Organization
HOSPITALIST SERVICES MEDICAL GROUP OF SPRINGFIELD, INC
Active
Other names
Hospitalist Services Medical Group of Springfield, Inc./Mercy Springfi
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W KOLODZIK MD (COO)
(800) 726-3627
Entity
Organization
Contact information
Practice address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 390-5000
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1430089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334883
ANTHEM
OH
01
—
203435
EEOICP GROUP PROVIDER #
OH
05
—
2482648
—
OH
Enumeration date
09/16/2005
Last updated
04/20/2008
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