Active NPI
Andrea J Hoffman, PA-C
- Physician Assistant
- Dayton, OH
National Provider Identifier
1124458856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.005078RX
- Practice address
- 4340 Clyo Rd Ste 200
Dayton, OH 45459-7000 - Phone
- (937) 396-2602
- Fax
- (937) 395-3682
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA056497 | PA | |
| Physician Assistant | 363A00000X | OA003197 | PA | |
| Physician Assistant | 363A00000X | 50.005078RX | OH | Primary |
Addresses
Primary practice location
4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Mailing address
4340 Clyo Rd Ste 200
Dayton, OH 45459-7000
Phone (937) 396-2602
Other names 1
- Andrea J Burnett
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | digestivespecialists@directaddress.net | Health Information Exchange (HIE) |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.005078RX | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1124458856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 CLYO RD STE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454597000",
"telephone_number": "937-396-2602",
"fax_number": "937-395-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 CLYO RD STE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454597000",
"telephone_number": "937-396-2602",
"fax_number": "937-395-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "ANDREA",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA056497",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA003197",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005078RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "digestivespecialists@directaddress.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4340 Clyo Rd Ste 200",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454597000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BURNETT",
"middle_name": "J",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.