Emily Hoff-Sullivan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0073341 Issued in FL

Practice address

2820 Gibson Rd
Jacksonville, FL 32207-4804

Phone

(904) 399-3150

Fax

(904) 399-3515

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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 and National Provider Directory roles.

• MDDC, LLC

  • Orthopedic Chiropractor
  • Baltimore, MD
  • NPI 1386898625
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1649272956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17543",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457543",
            "telephone_number": "904-399-3150",
            "fax_number": "904-399-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GIBSON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074804",
            "telephone_number": "904-399-3150",
            "fax_number": "904-399-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFF-SULLIVAN",
        "first_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "043649",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0073341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL",
            "identifier": "162188000",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772912A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41456",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200027956",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4299040001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Leigh Hoefnagel, CCC-SLP
• Abbie Hoeger, LCSW
• Lawrence Edward Hoening, P.A.
• Natasha T Hoey, LPN
• Victoria Hoff-Joinville, D.O.
• Andrea L Hoff, PA-C
• Jeanine Hoff, MSW
• Jennifer Hoff, ARNP
• Peggy Hoff, ARNP
• Annamarie M Hoffecker, APRN

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.