Provider Demographics
NPI:1174690952
Name:HOHIMER, INGRID K (MD)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:K
Last Name:HOHIMER
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:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0259
Mailing Address - Country:US
Mailing Address - Phone:518-562-7900
Mailing Address - Fax:518-562-7933
Practice Address - Street 1:75 BEEKMAN ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1438
Practice Address - Country:US
Practice Address - Phone:518-561-2000
Practice Address - Fax:518-561-0881
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY223797-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02572356Medicaid
NY141338471OtherFIDELIS
NY141338471OtherGHI
NY141338471OtherAETNA
NYHK10223797OtherEMPIRE BC
NY141338471OtherMARITNS POINT
141338471OtherUNITED HEALTHCARE
000490094001OtherBLUE SHIELD NENY
NY114406OtherVALUE OPTIONS
NY90031OtherMVP
P010223797OtherEXCELLUS BC
000490094001OtherBLUE SHIELD NENY
P010223797OtherEXCELLUS BC
H76386Medicare UPIN