Jacob Keith Hoffmann, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10818363-1206 Issued in UT

Practice address

6322 S 3000 E Ste 140
Cottonwood Heights, UT 84121-3555

Phone

(801) 733-9924

NPI assigned

May 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• Advanced Spine and Pain PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Draper, UT
  • NPI 1437627080
  Medicare reassignment
• Tecs Utah PC

  • Physical Medicine & Rehabilitation Physician
  • American Fork, UT
  • NPI 1831985951
  Medicare reassignment

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1811487622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 S 3000 E STE 140",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213555",
            "telephone_number": "801-733-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 S 3000 E STE 140",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213555",
            "telephone_number": "801-733-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "JACOB",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10818363-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Hills, BCBA
• Hilltop Medical Clinic, LLC
• John M Hillyard, M.D.
• Camille Hoerner
• Grace Nicole Hoffman
• Steven Homel, M.D.
• Audrey M Honig
• Colten Hood
• Kaitlyn Horne
• Laura Horsley

• Physician Assistant in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.

Verify at the official NPI Registry.