Provider Demographics
NPI:1740214154
Name:HOFFMAN, ROBERT D II (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:HOFFMAN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1161 21ST AVE S
Practice Address - Street 2:DEPT. PATHOLOGY MCN C3307
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2561
Practice Address - Country:US
Practice Address - Phone:615-322-5769
Practice Address - Fax:615-343-7023
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-064195207ZP0101X
TNMD0000044516207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000224279OtherUNISON
OH0653678OtherAETNA
OH745376OtherBUCKEYE
OH0127464OtherBCMH
OH1100390OtherUHC
OH220015823OtherRAILROAD MEDICARE
OH363640OtherWELLCARE
OH0127713Medicaid
OHP00412345OtherRAILROAD MEDICARE
OH00000030356OtherANTHEM
OH000000528678OtherANTHEM
OH00000030356OtherANTHEM
OH0127464OtherBCMH
OH1100390OtherUHC