Glen E. Hofmann, M.D., PHD.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

35-05-0680 Issued in OH

Practice address

7095 Clyo Road
Centerville, OH 45459

Phone

(937) 458-5084

Fax

(937) 458-5089

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1982749834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 CLYO ROAD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-458-5084",
            "fax_number": "937-458-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 CLYO ROAD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-458-5084",
            "fax_number": "937-458-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFMANN",
        "first_name": "GLEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35-05-0680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Hodapp, DPT
• Mark Steven Hodson, DDS
• Maxwell Gabriel Hoffman, P.T.
• Megan Hoffman
• Molly Letoure Hoffman, APRN, ACAG-BC
• Joy Lindsey Holdsworth
• Ashley Nicole Holland, OTR/L
• Jillane E Holland, LISW-S
• Deborah Holt, L.P.C.C
• Holten Chiropractic Center PC

• Reproductive Endocrinology Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Reproductive Endocrinology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.