| Hyde Park Medical Associates, Inc. | |
|
2135 Dana Ave Suite 210 Cincinnati OH 45207 | |
| (513) 351-1200 | |
| (513) 351-1580 |
| Full Name | Hyde Park Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2135 Dana Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | James Hochwalt (PRESIDENT) |
| Authorized Official Contact | 5133511200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyde Park Medical Associates, Inc. 2135 Dana Ave Suite 210 Cincinnati OH 45207 Ph: (513) 351-1200 | Hyde Park Medical Associates, Inc. 2135 Dana Ave Suite 210 Cincinnati OH 45207 Ph: (513) 351-1200 |
| NPI Number | 1841310331 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 11/13/2019 |
| Medicare PECOS PAC ID | 2567544505 |
|---|---|
| Medicare Enrollment ID | O20080129000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841310331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth B Maeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073701843 PECOS PAC ID: 9436231487 Enrollment ID: I20080129000629 |
| Provider Name | James M Hochwalt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235164088 PECOS PAC ID: 8527139120 Enrollment ID: I20100423000543 |
| Provider Name | Michael M Mcclellan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801821665 PECOS PAC ID: 8628105574 Enrollment ID: I20100423000613 |
| Provider Name | Michael E Freese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639104474 PECOS PAC ID: 4880721745 Enrollment ID: I20100423000762 |
| Provider Name | Matthew D Hartig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780614974 PECOS PAC ID: 8820279516 Enrollment ID: I20110301000634 |
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