Individual provider Active NPI

Thomas Lee Hoffman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Clearfield, PA
National Provider Identifier
1386624062
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC-003105-L Issued in PA
Practice address
320 Park Ave
Clearfield, PA 16830-2112
Phone
(814) 765-3138
Fax
(814) 765-3410
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC-003105-L PA Primary

Addresses

Primary practice location

320 Park Ave
Clearfield, PA 16830-2112

Mailing address

320 Park Ave
Clearfield, PA 16830-2112
Phone (814) 765-3138

Other identifiers 4

IdentifierTypeStateIssuer
0010921230001MedicaidPA
211195OtherPAUPMC
408502OtherPA BLUE SHIELD
350015445OtherPARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830001033 PA Practitioner - Podiatry 1254455181 Practice locations: Clearfield, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Park Ave
Clearfield, PA 16830-2112
Phone (814) 765-3138

Hospital & facility affiliations

  • Penn Highlands Community Nurses Home health agency, Clearfield, PA, CCN 397091
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue648
Removal of skin lesions1-10
Removal of nail tissue1187
Removal or shaving of skin growth337
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003105-LPAMDFoot & Ankle Surgery Podiatrist

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1386624062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302112",
            "telephone_number": "814-765-3138",
            "fax_number": "814-765-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302112",
            "telephone_number": "814-765-3138",
            "fax_number": "814-765-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC-003105-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010921230001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "211195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "408502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350015445",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.