Basic Information
Provider Information
NPI: 1316189517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOEHNEN
FirstName: SARAH
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8390 CHAMPIONS GATE BLVD
Address2: SUITE 215
City: CHAMPIONS GATE
State: FL
PostalCode: 338968310
CountryCode: US
TelephoneNumber: 4073901677
FaxNumber: 4073901765
Practice Location
Address1: 2829 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441152413
CountryCode: US
TelephoneNumber: 2163573131
FaxNumber: 2163573119
Other Information
ProviderEnumerationDate: 04/02/2009
LastUpdateDate: 07/21/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X34.011208OHY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


Home