Active NPI
Todd Gregory Hoffman, MD
- Emergency Medicine Physician
- Tulsa, OK
National Provider Identifier
1821089020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 22849
- Practice address
- 1717 S Utica Ave Ste a
Tulsa, OK 74104-5346 - Phone
- (918) 748-7557
- Fax
- (918) 748-7514
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22849 | OK | Primary |
Addresses
Primary practice location
1717 S Utica Ave Ste a
Tulsa, OK 74104-5346
Mailing address
1515 N Harvard Ave
Ste E
Tulsa, OK 74115-4957
Phone (918) 832-6049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930122480 | Other | OK | RAILROAD MEDICARE |
| 100102700A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1821089020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N HARVARD AVE",
"address_2": "STE E",
"city": "TULSA",
"state": "OK",
"postal_code": "741154957",
"telephone_number": "918-832-6049",
"fax_number": "918-832-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S UTICA AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741045346",
"telephone_number": "918-748-7557",
"fax_number": "918-748-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "TODD",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "22849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930122480",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100102700A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.