Active NPI
Kurt Hofmann, DO
- Family Medicine Physician
- Ironton, OH
National Provider Identifier
1588651749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-005262
- Practice address
- 912 Park Ave
Ironton, OH 45638-1596 - Phone
- (740) 534-0021
- Fax
- (740) 534-0029
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 34-005262 | OH | Primary |
Addresses
Primary practice location
912 Park Ave
Ironton, OH 45638-1596
Mailing address
PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000039632 | Other | OH | ANTHEM INSURANCE |
| 64932601 | Medicaid | KY | |
| 082230 | Medicaid | OH | |
| 3810003386 | Medicaid | WV |
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 |
|---|---|---|---|
| 5262 | OH | MD | Clinical Psychologist |
| 34-005262 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence County | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Lawrence County Health Department
- Public Health or Welfare Agency
- Ironton, OH
- NPI 1437375904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1588651749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051595",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 PARK AVE",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381596",
"telephone_number": "740-534-0021",
"fax_number": "740-534-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "KURT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-005262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INSURANCE",
"identifier": "000000039632",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64932601",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082230",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003386",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.