Darrell R Hofer, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01027075A Issued in IN

Practice address

3807 S Madison St
Muncie, IN 47302-5758

Phone

(765) 751-3300

Fax

(765) 751-3313

NPI assigned

Feb 22, 2006

Last updated

Jun 1, 2011By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emergency Physicians of Delaware County, P.C.

  • Emergency Medicine Physician
  • Muncie, IN
  • NPI 1417956384
  NPD (past)
• Open Door Health Services, Inc.

  dba Open Door Health Services Blackford County

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1437124450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 S MADISON ST",
            "address_2": "PO BOX 1676",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025758",
            "telephone_number": "765-213-3707",
            "fax_number": "765-751-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 S MADISON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473025758",
            "telephone_number": "765-751-3300",
            "fax_number": "765-751-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFER",
        "first_name": "DARRELL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01027075A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347440A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100347440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000343302",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Hissam
• HLM Occupational Therapy (Designer Therapy Services)
• Lisa R Hodge, FNP-C
• Michael J Hodkin, MD
• Krista Hoevel, LUHC
• Daisy Hoffman
• Lisa A Hogan
• Patricia Lynn Holaway, LMFT, MAC
• Ashley Dawnelle Holcomb
• Dylan L Holcomb, NP

• Emergency Medicine Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.