Provider Demographics
NPI:1326368283
Name:HOSMER, AMY ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:HOSMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29101 HEALTH CAMPUS DR STE 450
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5267
Mailing Address - Country:US
Mailing Address - Phone:440-406-5500
Mailing Address - Fax:
Practice Address - Street 1:29101 HEALTH CAMPUS DR STE 450
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5267
Practice Address - Country:US
Practice Address - Phone:440-406-5500
Practice Address - Fax:440-827-5263
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096571207R00000X, 207RG0100X, 390200000X
OH35.131616207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program