Provider Demographics
NPI:1174578447
Name:HANS ZWART, M.D. AND ASSOCIATES, INC
Entity type:Organization
Organization Name:HANS ZWART, M.D. AND ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-297-6800
Mailing Address - Street 1:580 LINCOLN PARK BLVD
Mailing Address - Street 2:SUITE 322
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-3474
Mailing Address - Country:US
Mailing Address - Phone:937-297-6800
Mailing Address - Fax:937-297-6810
Practice Address - Street 1:580 LINCOLN PARK BLVD
Practice Address - Street 2:SUITE 322
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-3474
Practice Address - Country:US
Practice Address - Phone:937-297-6800
Practice Address - Fax:937-297-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2310378Medicaid
=========OtherFEDERAL EIN NUMBER
OH2310378Medicaid