Individual provider Active NPI

Werner Franz Hoeflich, PA-C

  • Surgical Physician Assistant
  • Shelton, CT
National Provider Identifier
1346507126
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4357 Issued in CT
Practice address
1 Corporate Dr Ste 325
Shelton, CT 06484-6295
Phone
(203) 696-6125
Fax
(203) 337-9731
NPI assigned
Apr 18, 2012
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4357 CT Primary

Addresses

Primary practice location

1 Corporate Dr Ste 325
Shelton, CT 06484-6295

Mailing address

1 Corporate Dr Ste 325
Shelton, CT 06484-6295
Phone (203) 696-6125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306001294 CT Practitioner - Physician Assistant 5395084594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: werner.hoeflich@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1346507126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 325",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846295",
            "telephone_number": "203-696-6125",
            "fax_number": "203-337-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 325",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846295",
            "telephone_number": "203-696-6125",
            "fax_number": "203-337-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFLICH",
        "first_name": "WERNER",
        "middle_name": "FRANZ",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "4357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.