Active NPI
Richard A Hoefer, D.O.
- Surgery Physician
- Newport News, VA
National Provider Identifier
1114992245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0102037102
- Practice address
- 11803 Jefferson Ave
Ste 235
Newport News, VA 23606-2565 - Phone
- (757) 594-1806
- Fax
- (757) 510-9081
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0102037102 | VA | Primary |
Addresses
Primary practice location
11803 Jefferson Ave
Ste 235
Newport News, VA 23606-2565
Mailing address
11803 Jefferson Ave
Ste 235
Newport News, VA 23606-2565
Phone (757) 594-1806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010170257 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102037102 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15871/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Williamsburg, VA
- NPI 1083867311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1114992245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 JEFFERSON AVE",
"address_2": "STE 235",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062565",
"telephone_number": "757-594-1806",
"fax_number": "757-510-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 JEFFERSON AVE",
"address_2": "STE 235",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062565",
"telephone_number": "757-594-1806",
"fax_number": "757-510-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEFER",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0102037102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010170257",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.