Individual provider Active NPI

Robin Rae Hoffeld, CSFA

  • Surgical Physician Assistant
  • Ocean Springs, MS
National Provider Identifier
1114392172
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
162338 Issued in MI
Practice address
11401 Wedgewood LN
Ocean Springs, MS 39564-7910
Phone
(228) 380-0201
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 162338 MI Primary

Addresses

Primary practice location

11401 Wedgewood LN
Ocean Springs, MS 39564-7910

Mailing address

11401 Wedgewood
Ocean Springs, MS 39532
Phone (228) 380-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
162338MIMDSurgical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1114392172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 WEDGEWOOD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39532",
            "telephone_number": "228-380-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 WEDGEWOOD LN",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395647910",
            "telephone_number": "228-380-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFELD",
        "first_name": "ROBIN",
        "middle_name": "RAE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "162338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.