Individual provider Active NPI

Mark Frederick Hoffmann, MD

  • Obstetrics & Gynecology Physician
  • Laramie, WY
National Provider Identifier
1144223272
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C158387 Issued in CA
Practice address
2710 E Harney St
Suite 100
Laramie, WY 82072-2884
Phone
(307) 745-8991
Fax
(307) 745-8167
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TL2023 WY
Obstetrics & Gynecology Physician 207V00000X C158387 CA Primary

Addresses

Primary practice location

2710 E Harney St
Suite 100
Laramie, WY 82072-2884

Mailing address

2710 E Harney St
Suite 100
Laramie, WY 82072-2884
Phone (307) 745-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130219000050 WY Practitioner - Obstetrics/Gynecology 2365449113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C158387CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laramie Physicians for Women PC Obstetrics & Gynecology CurrentSince Feb 8, 2018 Accepting new patients

Locations

2710 Harney St
Ste 100
Laramie, WY 82072
Phone (307) 742-3242

1277 N 15th St
Laramie, WY 82072
Phone (307) 742-6222

1016 W Spruce St
Unit A
Rawlins, WY 82301
Phone (307) 324-8494

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1144223272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 E HARNEY ST",
            "address_2": "SUITE 100",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722884",
            "telephone_number": "307-745-8991",
            "fax_number": "307-745-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E HARNEY ST",
            "address_2": "SUITE 100",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722884",
            "telephone_number": "307-745-8991",
            "fax_number": "307-745-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "TL2023",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C158387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.