Physician Compare National (NPI:1386624062)

HEALTHCARE PROVIDER: THOMAS LEE HOFFMAN D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386624062
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254455181
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100830001033
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOFFMAN
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	320 PARK AVE
	Group Practice or individual's line 1 address
City	CLEARFIELD
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	168302112
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8147653138
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390052
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CLEARFIELD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390086
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PENN HIGHLAND DUBOIS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y