MEDICARE: DR. THOMAS LEE HOFFMAN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC-003105-L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	350015445	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	211195	OTHER	PA	UPMC
3	408502	OTHER		PA BLUE SHIELD

General Provider Information

NPI Number	:	1386624062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS LEE HOFFMAN D.P.M.

Provider Business Mailing Address
First Line	:	320 PARK AVE
Second Line	:
City	:	CLEARFIELD
State	:	PA
Zip	:	16830-2112
Country	:	US
Telephone Number	:	814-765-3138
Fax Number	:	814-765-3410

Provider Business Practice Location Address
First Line	:	320 PARK AVE
Second Line	:
City	:	CLEARFIELD
State	:	PA
Zip	:	16830-2112
Country	:	US
Telephone Number	:	814-765-3138
Fax Number	:	814-765-3410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	06/04/2008

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