Mario R Hofheinz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-395 Issued in AR

Practice address

2215 Wildwood Ave
Suite 105
Sherwood, AR 72120-5089

Phone

(501) 833-3833

Fax

(501) 833-8191

NPI assigned

Oct 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• John Richard Duke Sr MD PLLC Dba Duke Medical

  • Family Medicine Physician
  • Judsonia, AR
  • NPI 1679307425
  NPD (past)
• Neurology Clinic of Central Arkansas

  • Sleep Disorder Diagnostic Clinic/Center
  • Little Rock, AR
  • NPI 1851494074
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1699000562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SANTA FE DR",
            "address_2": "SUITE 105",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436964",
            "telephone_number": "501-833-3833",
            "fax_number": "501-833-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "SUITE 105",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-833-3833",
            "fax_number": "501-833-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFHEINZ",
        "first_name": "MARIO",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "P-T0932",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kaye Hill, PT, DPT, NCS
• William David Hill, D.D.S.
• Hoang Eye Care, PLLC
• Sydney Blair Hobbs, SLP
• Haylie Hoffman, LAC
• Rachel Michelle Hogue
• Libby Ann Holbrook, RN
• Alexis Holcomb
• Rylee Peyton Holland, COTA/L
• Christy Gayle Hollingshead, MSPT

• Physician Assistant in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.