| Jonathan Hollister, MD | |
|
590 Newark Granville Rd, Granville, OH 43023-1436 | |
| (888) 531-7444 | |
| Not Available |
| Full Name | Jonathan Hollister |
|---|---|
| Gender | Male |
| Speciality | Geriatric Medicine |
| Experience | 25 Years |
| Location | 590 Newark Granville Rd, Granville, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487621652 | NPI | - | NPPES |
| 2612917 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 35-08-4535 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| A Tender Nursing Care Company | Reynoldsburg, OH | Home health agency |
| Premier Home Health Llc | Newark, OH | Home health agency |
| National Church Residences H&c Services Central Oh | Columbus, OH | Hospice |
| National Church Residences Home And Community Serv | Waverly, OH | Hospice |
| Hospice Of Central Ohio | Newark, OH | Hospice |
| Licking Memorial Hospital | Newark, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Kendal At Granville | Granville, OH | Nursing home |
| Mother Angeline Mccrory Manor | Columbus, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Ohio Geriatrics, Llc | 7517015373 | 7 |
| Pai Participant 1 Llc | 8123351954 | 139 |
| Entity Name | Central Ohio Geriatrics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073753794 PECOS PAC ID: 7517015373 Enrollment ID: O20090505000139 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20200402000312 |
| Entity Name | Careconnectmd Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255971537 PECOS PAC ID: 2567885577 Enrollment ID: O20200709002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Hollister, MD 590 Newark Granville Rd, Granville, OH 43023-1436 Ph: (888) 531-7444 | Jonathan Hollister, MD 590 Newark Granville Rd, Granville, OH 43023-1436 Ph: (888) 531-7444 |
Dr. Donald Albert Deshetler Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Newark Granville Rd, Suite 100, Granville, OH 43023 Phone: 740-587-0087 Fax: 740-587-0084 | |
Prit Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Weaver Dr, Granville, OH 43023 Phone: 220-564-1961 Fax: 220-564-1959 | |
Kalpana Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Weaver Dr, Granville, OH 43023 Phone: 220-564-1961 Fax: 220-564-1959 | |
David O. Parker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2790 Columbus Rd, Granville, OH 43023 Phone: 740-281-2576 Fax: 740-281-2575 | |
Dr. Michael D Barth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Weaver Dr, Granville, OH 43023 Phone: 220-564-1940 Fax: 220-564-1941 | |
Angela Eubanks, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1945 Newark Granville Rd, Granville, OH 43023 Phone: 740-587-0870 |