Individual provider Active NPI

Eric Francis Hofmeister, DO

  • Family Medicine Physician
  • Big Stone Gap, VA
National Provider Identifier
1326336785
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14872 Issued in FL
Practice address
1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone
(276) 679-1383
Fax
(276) 679-1851
NPI assigned
Jul 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102203404 VA
Student in an Organized Health Care Education/Training Program 390200000X 0116023685 VA
Family Medicine Physician 207Q00000X OS14872 FL Primary

Addresses

Primary practice location

1990 Holton Ave E
Big Stone Gap, VA 24219-3350

Mailing address

1340 NW 97TH Ave
Plantation, FL 33322-4828
Phone (407) 929-8039

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehofmeister178980@MHSDIRECT.NET Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171205003473 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 3577705482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Emergency Medicine
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet South Broward LLCGroup PAC ID 4587563960, 67 clinicians

Practice addresses (Care Compare)

801 S Douglas Rd
Pembroke Pines, FL 33025-1355
Phone (954) 985-1470

Hospital & facility affiliations

  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5504OKMDPediatric Dentist
2581TNMDRegistered Dietitian
0102203404VAMDFamily Medicine Physician
0116023685VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet South Broward LLC Family Medicine CurrentSince Dec 1, 2017 Accepting new patients

Locations

801 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Interoperability endpoints

  • Direct secure messaging: ehofmeister178980@mhsdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1326336785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 NW 97TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224828",
            "telephone_number": "407-929-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOLTON AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193350",
            "telephone_number": "276-679-1383",
            "fax_number": "276-679-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMEISTER",
        "first_name": "ERIC",
        "middle_name": "FRANCIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2021-04-20",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203404",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116023685",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehofmeister178980@MHSDIRECT.NET",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "801 S Douglas Rd",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330251355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.