Provider Demographics
NPI:1659581296
Name:D. A. HOFFMAN, INC.
Entity Type:Organization
Organization Name:D. A. HOFFMAN, INC.
Other - Org Name:HEART ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-743-3644
Mailing Address - Street 1:1220 BELMONT AVENUE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1102
Mailing Address - Country:US
Mailing Address - Phone:330-743-3644
Mailing Address - Fax:330-743-2737
Practice Address - Street 1:1220 BELMONT AVENUE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1102
Practice Address - Country:US
Practice Address - Phone:330-743-3644
Practice Address - Fax:330-743-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34002486207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0514652Medicaid
OH0407545Medicaid
OH9916451Medicare PIN
OH0407545Medicaid
OHC01645Medicare UPIN
OHHO0462822Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
OH060000740Medicare PIN