Provider Demographics
NPI:1780838011
Name:HOSPITALIST MEDICINE PHYSICIANS OF TANEY COUNTY, LLC
Entity Type:Organization
Organization Name:HOSPITALIST MEDICINE PHYSICIANS OF TANEY COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-497-8490
Mailing Address - Street 1:4535 DRESSLER RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2545
Mailing Address - Country:US
Mailing Address - Phone:330-497-8490
Mailing Address - Fax:
Practice Address - Street 1:101 SKAGGS RD
Practice Address - Street 2:MEDICAL PLAZA ONE, SUITE 401
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2075
Practice Address - Country:US
Practice Address - Phone:417-335-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITALISTS MANAGEMENT GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty