Active NPI
Larry K Hoffman, DO
- Family Medicine Physician
- North Royalton, OH
National Provider Identifier
1548247380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-004346
- Practice address
- 7171 Royalton Rd Ste 201
North Royalton, OH 44133-4818 - Phone
- (440) 816-5950
- NPI assigned
- Dec 22, 2005
- Last updated
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-004346 | OH | Primary |
Addresses
Primary practice location
7171 Royalton Rd Ste 201
North Royalton, OH 44133-4818
Mailing address
7171 Royalton Rd Ste 201
North Royalton, OH 44133-4818
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54279 | Other | OH | HIGHMARK |
| 61280 | Other | OH | QUAL CHOICE |
| 000000198462 | Other | OH | ANTHEM PIN |
| 3416527556P00 | Other | OH | ANTHEM GROUP |
| 0004078307 | Other | OH | AETNA |
| 0681007 | Medicaid | OH | |
| 080163399 | Other | OH | RAILROAD MEDICARE |
| 0843940002 | Other | OH | DMERC |
| 2238199 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-004346 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1548247380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 ROYALTON RD STE 201",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441334818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 ROYALTON RD STE 201",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441334818",
"telephone_number": "440-816-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "LARRY",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-004346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "54279",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE",
"identifier": "61280",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000198462",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "3416527556P00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004078307",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0681007",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080163399",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0843940002",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2238199",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.