Active NPI
James E Hoffman, D.O.
- Pediatrics Physician
- Cape Girardeau, MO
National Provider Identifier
1609895481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R7B50
- Practice address
- 3250 Gordonville Rd
Ste 301
Cape Girardeau, MO 63703-5056 - Phone
- (573) 334-9641
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R7B50 | MO | Primary |
Addresses
Primary practice location
3250 Gordonville Rd
Ste 301
Cape Girardeau, MO 63703-5056
Mailing address
PO Box 843225
Kansas City, MO 64184-3225
Phone (708) 633-1234
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138966 | Other | HEALTHLINK | |
| 603528 | Other | MO | ANTHEM BCBS |
| 1609895481 | Medicaid | IL | |
| 241599216 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Health and Dermatology, LLC | Pediatrics | Current | Accepting new patients |
Locations
304 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9933
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1609895481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843225",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843225",
"telephone_number": "708-633-1234",
"fax_number": "708-342-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 GORDONVILLE RD",
"address_2": "STE 301",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035056",
"telephone_number": "573-334-9641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "JAMES",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R7B50",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "138966",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "603528",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609895481",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241599216",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.