Physician Compare National (NPI:1508806134)

HEALTHCARE PROVIDER: WILLIAM P HOFMANN MD

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

Individual Professional Information
NPI	1508806134
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406970938
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100903000791
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOFMANN
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ANESTHESIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ANESTHESIOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1006 N H ST
	Group Practice or individual's line 1 address
Line 2 Street Address	3RD FL
	Group Practice or individual's line 2 address
City	ABERDEEN
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985202521
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRAYS HARBOR COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y