Hoffmann Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

26569 Issued in WI

Legal business name

HOFFMANN CLINIC

Practice address

199 S Division St
Waupaca, WI 54981-1582

Phone

(715) 942-2154

Fax

(715) 942-2156

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Gregory Hoffmann, M.D.

Title

Sole Proprietor

Phone

(715) 942-2154

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1518136282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S DIVISION ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811582",
            "telephone_number": "715-942-2154",
            "fax_number": "715-942-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S DIVISION ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811582",
            "telephone_number": "715-942-2154",
            "fax_number": "715-942-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMANN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "715-942-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "26569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30628400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Rose Helm, PA-C
• Christa Jeanne Hemmila, APNP, FNP-C, NP-BC
• Amanda Henke, APSW
• Tyler G Higginson, CRNA
• Wendy Carroll Hill, M.D.
• Whitney A Hoffmann
• Aaron Holt, CSAC
• Iris Health Clinic LLC
• Adam Michael Irwin, PT
• Dawn Lynne Johnson, COTA, LMT

• All providers in Waupaca, WI
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.