Active NPI
Clinton F Van Hoff
- Emergency Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OT020255
- Practice address
- 311 W 24TH St FL 4
Erie, PA 16502-2665 - Phone
- (814) 452-5101
- NPI assigned
- May 27, 2020
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT020255 | PA | Primary |
Addresses
Primary practice location
311 W 24TH St FL 4
Erie, PA 16502-2665
Mailing address
311 W 24TH St FL 4
Erie, PA 16502-2665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 N 1100
American Fork, UT 84003-2096
Phone (801) 714-6570
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT020255 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Valley Emergency Physicians LC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
ID
-
- Emergency Medical Services (Emergency Medicine) Physician
- American Fork, UT
- NPI 1134177876
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1174146096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W 24TH ST FL 4",
"city": "ERIE",
"state": "PA",
"postal_code": "165022665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W 24TH ST FL 4",
"city": "ERIE",
"state": "PA",
"postal_code": "165022665",
"telephone_number": "814-452-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HOFF",
"first_name": "CLINTON",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT020255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.