Keith R Hoffmann MD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEITH R HOFFMANN MD PLC

Practice address

25915 Harper Ave
Suite B
Saint Clair Shores, MI 48081-3770

Phone

(586) 872-2580

Fax

(586) 872-2689

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Keith R Hoffmann, MD

Title

President

Phone

(586) 872-2580

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Mullin Sim, MD

  • Family Medicine Physician
  • Saint Clair Shores, MI
  • NPI 1881604577
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1740645795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE",
            "address_2": "SUITE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-872-2580",
            "fax_number": "586-872-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE",
            "address_2": "SUITE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-872-2580",
            "fax_number": "586-872-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH R HOFFMANN MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-872-2580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melek Ronald Kayser, MD
• Stephanie Kayser
• Irene Kearney
• Chree Selina Louise Kearse
• Thelonious Kee II
• Kelly L Zalewski LMSW LLC
• Caitlin Marie Kelly, AG-ACNP
• Jordan Marie Kelly
• Whitney Kelly
• Kelsey Ryan LMSW LLC

• Family Medicine Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.