Paul D Hoffman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6TH Medical Group, Flight Medicine Clinic
3250 Zemke Ave, BLDG 1078
Macdill AFB, FL 33621-5202

Phone

(813) 827-9805

Fax

(813) 828-5060

NPI assigned

Aug 30, 2007

Last updated

Apr 16, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1295929495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6TH MEDICAL GROUP, FLIGHT MEDICINE CLINIC",
            "address_2": "3250 ZEMKE AVE, BLDG 1078",
            "city": "MACDILL AFB",
            "state": "FL",
            "postal_code": "336215202",
            "telephone_number": "863-500-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6TH MEDICAL GROUP, FLIGHT MEDICINE CLINIC",
            "address_2": "3250 ZEMKE AVE, BLDG 1078",
            "city": "MACDILL AFB",
            "state": "FL",
            "postal_code": "336215202",
            "telephone_number": "813-827-9805",
            "fax_number": "813-828-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 6TH Medgrp-Macdill
• Alyse Marie Denittis, PHYSICIAN ASSISTANT
• Robert Lyman Eckles, DDS
• Marjorie Ann Finlay, PA
• Jordan Lee Huffman, PT, DPT
• Patricia Jean Kolanko-Brown, LSCW
• Jeane Marie Lambrecht, PSY.D
• Donna Laulo
• Joshua D Mattison, M.D.

• Physician Assistant in Macdill AFB, FL
• Providers in Macdill AFB, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.