Individual provider Active NPI

Pamela Alise Hoffman

  • Physician Assistant
  • Concord Township, OH
National Provider Identifier
1801454715
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006464RX Issued in OH
Practice address
7580 Auburn Rd
Concord Township, OH 44077-9615
Phone
(440) 352-7546
Fax
(440) 352-5260
NPI assigned
Jun 5, 2019
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 50.006464RX OH Primary

Addresses

Primary practice location

7580 Auburn Rd
Concord Township, OH 44077-9615

Mailing address

8254 Tulip LN
Chagrin Falls, OH 44023-4670
Phone (614) 439-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526003079 OH Practitioner - Physician Assistant 0446659387 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker Skin and Aesthetic Clinic IncGroup PAC ID 4587614813, 10 clinicians
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

4212 Chillicothe Rd
Suite 200
Willoughby, OH 44094
Phone (440) 946-9080

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Skin & Aesthetic Clinic Inc. CurrentSince Feb 9, 2026 Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients

Locations

3737 Park East Dr
Ste 109
Beachwood, OH 44122
Phone (216) 464-7333

Interoperability endpoints

  • Direct secure messaging: phoffman@apexskin.emadirect.md

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1801454715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 TULIP LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234670",
            "telephone_number": "614-439-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-352-7546",
            "fax_number": "440-352-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "PAMELA",
        "middle_name": "ALISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006464RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

Verify at the official NPI Registry.