Provider Demographics
NPI:1740497627
Name:DR. HOFFMAN & ASSOCIATES, P.A.
Entity type:Organization
Organization Name:DR. HOFFMAN & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:507-372-2986
Mailing Address - Street 1:1205 RYANS RD BOX 848
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-0848
Mailing Address - Country:US
Mailing Address - Phone:507-372-2986
Mailing Address - Fax:507-372-5457
Practice Address - Street 1:HIGHWAY 71 SOUTH
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-0612
Practice Address - Country:US
Practice Address - Phone:507-372-2986
Practice Address - Fax:507-372-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA395213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0538975Medicaid
IA0538975Medicaid
IA55835Medicare ID - Type Unspecified