Individual provider Active NPI

Matthew Henry Hoefer, DO

  • Aerospace Medicine Physician
  • Pensacola, FL
National Provider Identifier
1851598510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
02003151A Issued in IN
Practice address
Naval Aerospace Medical Institute- Code 33
340 Hulse Road
Pensacola, FL 32508
Phone
(850) 452-3691
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 02003151A IN Primary

Addresses

Primary practice location

Naval Aerospace Medical Institute- Code 33
340 Hulse Road
Pensacola, FL 32508

Mailing address

2076 Stennis Dr
Pensacola, FL 32506-2931
Phone (706) 993-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02003151AINMDAerospace Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851598510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 STENNIS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325062931",
            "telephone_number": "706-993-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL AEROSPACE MEDICAL INSTITUTE- CODE 33",
            "address_2": "340 HULSE ROAD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32508",
            "telephone_number": "850-452-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFER",
        "first_name": "MATTHEW",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "02003151A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.