Basic Information
| Provider Information | |||||||||
| NPI: | 1871594093 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOFFMANN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 S GEORGE ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178514005 | ||||||||
| FaxNumber: | 7178122495 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172174300 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2005 | ||||||||
| LastUpdateDate: | 10/27/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS007729L | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | OS007729L | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 25-1716306 | 01 | PA | DEVON | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 120420410 | 01 | PA | DEPT OF LABOR | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | BH3222091 | 01 | PA | DEA | OTHER | P004438 | 01 | PA | GATEWAY | OTHER | 240883 | 01 | PA | MAMSI | OTHER | 845158 | 01 | PA | AETNA HMO | OTHER | 157315 | 01 | PA | UNISON | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | OS007729L | 01 | PA | LICENSE | OTHER | 001291987 0009 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | GREATWEST | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 728446 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | G920-0016/618296 | 01 | PA | CAREFIRST | OTHER | P00188714 | 01 | PA | RAILROAD MEDICARE | OTHER | 50045000 | 01 | PA | CAPITAL BLUECROSS (HOFC) | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 396179 | 01 | PA | HEALTH AMERICA | OTHER | 4641881 | 01 | PA | AETNA NON-HMO | OTHER | 50087506 | 01 | PA | CAPITAL BLUECROSS (WH) | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER |