John Gust Hatanelas
Internal Medicine

Address: 5100 W Broad St, Columbus, OH 43228-1607
Phone: 6145441000

John Gust Hatanelas (NPI# 1225379795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225379795
Entity Type Individual
Full Name John Gust Hatanelas
Gender Male
Practice Address 5100 W Broad St
Columbus
OH 43228-1607
Practice Telephone 6145441000
Mailing Address 4853 E 111th Pl
Thornton
CO 80233-3806
Mailing Telephone 3038079485
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-03-08
Last Update Date 2016-10-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 34012041 OH

Physician Overview

NPI 1225379795
PAC ID by PECOS 8022311554
Professional Enrollment ID I20160115002234
Full Name John G Hatanelas
Organization Legal Name OHIOHEALTH CORPORATION
Phone Number 6145441976
Gender M
Medical School LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2013
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 6305758426
Number of Group Practice Members 1141
Accepts Medicare Assignment Y
Report Quality Measures Y

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_47_1 Advance Care Plan 27%

Office Location

Street Address 5100 W BROAD ST
City COLUMBUS
State OH
Zip Code 43228-1607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588648091 Ruth L. Anker Pathology 5100 W Broad St, Columbus, OH 43228-1607 2005-11-30
1699248294 Aaron Roth Registered Nurse 5100 W Broad St, Columbus, OH 43228-1607 2019-01-07
1407323835 Andrew Sager Pharmacist 5100 W Broad St, Columbus, OH 43228-1607 2018-10-24
1053890087 Amanda Peare Weilbacher Nurse Practitioner 5100 W Broad St, Columbus, OH 43228-1607 2018-08-10
1689151680 Matthew Keith Eller Nurse Practitioner 5100 W Broad St, Columbus, OH 43228-1607 2018-07-23
1174012132 Cody Paul Carter Student in an Organized Health Care Education/Training Program 5100 W Broad St, Columbus, OH 43228-1607 2018-05-05
1356830707 Yuuki Jack Kaminoh Student in an Organized Health Care Education/Training Program 5100 W Broad St, Columbus, OH 43228-1607 2018-05-01
1457856635 Gregory Mountain Student in an Organized Health Care Education/Training Program 5100 W Broad St, Columbus, OH 43228-1672 2018-03-28
1609370709 Leah Michelle Rose Student in an Organized Health Care Education/Training Program 5100 W Broad St, Columbus, OH 43228-1607 2018-03-22
1912401407 Brandon Arehart Student in an Organized Health Care Education/Training Program 5100 W Broad St, Columbus, OH 43228-1672 2018-03-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831684232 Medcare Clinic LLC Clinic/Center 4125 W Broad St, Columbus, OH 43228 2018-06-27
1952893950 Midland Medical Group, LLC Family Medicine 1000 Georgesville Rd, Columbus, OH 43228 2018-06-05
1619478336 Charles Norris Fennie Student in an Organized Health Care Education/Training Program Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 2018-02-27
1033610092 Cecelia Campos Counselor 4998 W Broad St Ste 104, Columbus, OH 43228 2018-02-26
1902304389 Icare Health Services LLC Counselor 5152 W.broad St, Suite A, Columbus, OH 43228 2018-01-31
1104334523 Inner Health Chiropractic, Inc Chiropractor 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 2018-01-19
1871030262 Kristie Blake Advanced Practice Midwife 742 Oglethorpe, Columbus, OH 43228 2017-01-24
1619331394 Rebecca Rose Kaliher Specialist/Technologist 2685 River Oaks Dr, Columbus, OH 43228 2016-04-08
1386019792 Jill Marie Hill Nurse Practitioner 1585 Georgesville Drive, Columbus, OH 43228 2015-12-10
1134512593 Gregory Roger Grenier Student in an Organized Health Care Education/Training Program 5100 West Broad St, Doctors Hospital, Columbus, OH 43228 2015-03-10
Find all providers in zip 43228

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366947913 Mary Elise Hanks Internal Medicine Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 2018-03-27
1013379080 Melissa Lau Internal Medicine 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 2016-03-28
1215392105 Anne Botti Internal Medicine 4497 Kipling Rd, Columbus, OH 43220-4207 2015-12-21
1598150054 Adam Ketner Internal Medicine 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43205 2015-04-01
1457740045 Susan Shiyuan Li Internal Medicine 1405 S. High Street, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43205 2015-01-20
1487056578 Acts Signature Community Services, Inc. Internal Medicine 617 Laurel Lake Drive, Columbus, NC 28722-7420 2014-09-19
1497161608 Jessica Lynn Tyler Internal Medicine 181 Taylor Ave Ste N114, Columbus, OH 43203-1779 2014-07-08
1164849428 Michael Comianos Internal Medicine 3525 Olentangy River Rd Ste 4330, Columbus, OH 43214-3937 2014-03-25
1669895561 Larry H Lytle Internal Medicine 897 Briarbank Dr, Columbus, OH 43235 2014-01-28
1679916977 Matthew Joseph Fanous Internal Medicine 395 West 12th Ave, Osuwmc-dept of Internal Medicine, 346d Fac Off Tower, Columbus, OH 43210 2013-04-17
Find all providers in COLUMBUS

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City COLUMBUS
Zip Code 43228

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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