Provider Demographics
NPI:1801802863
Name:NOFFSINGER, HANSEL (MD)
Entity type:Individual
Prefix:
First Name:HANSEL
Middle Name:
Last Name:NOFFSINGER
Suffix:
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 1:80 HIGH MESA CIR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-6219
Mailing Address - Country:US
Mailing Address - Phone:502-753-9014
Mailing Address - Fax:
Practice Address - Street 1:48 MEDICAL PARK DR E STE 154
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3460
Practice Address - Country:US
Practice Address - Phone:205-838-3356
Practice Address - Fax:205-838-3357
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32192207R00000X
ALMD.25171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100072490Medicaid
G45406Medicare UPIN
KYK009210Medicare PIN