Henry B. Hofbauer, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

015178 Issued in CT

Legal business name

HENRY B. HOFBAUER, MD, PC

Practice address

850 N Main Street Ext Ste 2C3
Wallingford, CT 06492-2469

Phone

(203) 265-6522

Fax

(203) 265-5605

NPI assigned

Oct 22, 2010

Last updated

Feb 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelene Panciera

Title

Medical Assistant

Phone

(203) 265-6522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1922308048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE 2C3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922469",
            "telephone_number": "203-265-6522",
            "fax_number": "203-265-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE 2C3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922469",
            "telephone_number": "203-265-6522",
            "fax_number": "203-265-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY B. HOFBAUER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "PANCIERA",
        "authorized_official_first_name": "MICHELENE",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "203-265-6522"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "015178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthmed Family Care
• Helm & Helm, P.C.
• Charles Brian Helm, M.D.
• Thomas J. Helm, M.D.
• Anne C Hennessey, RPT
• Marvela Gratia Hermanus, DPM
• Elizabeth Hermenegildo
• Paula Andrea Hernandez Ortiz
• Julia Xilonen Hernandez
• Brandon D Heyda, OT

• Internal Medicine Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.