Timothy D Hoffmann, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301066594 Issued in MI

Practice address

1140 N State St
Suite 2805
Saint Ignace, MI 49781-1048

Phone

(906) 643-8689

Fax

(906) 643-6716

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sacred Heart Rehabilitation Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richmond, MI
  • NPI 1750363305

  MI

  Medicare reassignment NPD
• Marshall Internal and Family Medicine

  • Internal Medicine Physician
  • Marshall, MI
  • NPI 1417016957
  NPD
• Sacred Heart Rehabilitation Center, Inc

  • Community/Behavioral Health Agency
  • Madison Heights, MI
  • NPI 1942510516
  NPD
• Sault Tribe of Chippewa Indians

  • Family Nurse Practitioner
  • Sault Sainte Marie, MI
  • NPI 1205004884
  NPD
• Sault Tribe of Chippewa Indians

  • Clinical Medical Laboratory
  • Sault Sainte Marie, MI
  • NPI 1750434395
  NPD
• Sault Tribe of Chippewa Indians

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1902074586
  NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1295797942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "address_2": "SUITE 2805",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-8689",
            "fax_number": "906-643-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N STATE ST",
            "address_2": "SUITE 2805",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811048",
            "telephone_number": "906-643-8689",
            "fax_number": "906-643-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301066594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4640910",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4640929",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Heffernan, PHARMD
• Lene A Heinlen, DO
• Hiawatha Community Mental Health Authority
• Ashley May Hilbrand, M.D.
• Krysta Danyell Hinman, O.D.
• Annemarie Horn
• Linda Dey Inhelder, RD
• Carrie Melissa King
• Caryn Suzanne Kovar, PA-C
• Stephanie Ann Kurburski, MSW

• All providers in Saint Ignace, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.