MEDICARE: ROBERT D HOFFMAN II MD

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	207ZP0101X	Anatomic Pathology Physician	35-064195	OH
2	207ZP0101X	Anatomic Pathology Physician	MD0000044516	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	220015823	OTHER	OH	RAILROAD MEDICARE
9	P00412345	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000224279	OTHER	OH	UNISON
2	0653678	OTHER	OH	AETNA
3	745376	OTHER	OH	BUCKEYE
4	0127464	OTHER	OH	BCMH
5	1100390	OTHER	OH	UHC
7	363640	OTHER	OH	WELLCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	00000030356	OTHER	OH	ANTHEM
11	000000528678	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1740214154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT D HOFFMAN II MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1161 21ST AVE S
Second Line	:	DEPT. PATHOLOGY MCN C3307
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2561
Country	:	US
Telephone Number	:	615-322-5769
Fax Number	:	615-343-7023

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	03/16/2022

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