DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1366440984

NPI Code Detail

MEDICARE: MARK HOERMAN MD

MEDICARE: MARK HOERMAN 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	070272	GA
2	207RP1001X	Pulmonary Disease Physician	070272	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2849327	OTHER		AETNA
2	P55286567	OTHER		MULTIPLAN
3	71847	OTHER		GHI HMO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	P2017338	OTHER		OXFORD
6	2K1057	OTHER		HEALTHNET

General Provider Information

NPI Number	:	1366440984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK HOERMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 407
Second Line	:
City	:	VIDALIA
State	:	GA
Zip	:	30475-0407
Country	:	US
Telephone Number	:	912-537-4986
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 EDWINA DR
Second Line	:
City	:	VIDALIA
State	:	GA
Zip	:	30474-8963
Country	:	US
Telephone Number	:	912-538-8105
Fax Number	:	912-538-8109

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	10/17/2019

Similar Medicare Providers

1609874197 — ROBERT SCANLON DO
Practice Location Address:

1811 EDWINA DR
VIDALIA, GA
30474-8963

Practice Phone: 912-538-8105
Practice Fax: 912-538-8109

1437145208 — DR. KURT PATRICK HOFMANN M.D.
Practice Location Address:

1811 EDWINA DR
VIDALIA, GA
30474-8963

Practice Phone: 912-538-9977
Practice Fax:

1780672287 — DR. GREGORY NORKUS M.D.
Practice Location Address:

1811 EDWINA DR
VIDALIA, GA
30474-8963

Practice Phone: 912-538-9977
Practice Fax:

1689789703 — NANCY ELWOOD, MD PC
Practice Location Address:

1811 EDWINA DR
VIDALIA, GA
30474-8963

Practice Phone: 912-538-9774
Practice Fax: 912-608-8037

1396944633 — SOUTHEASTERN CARDIOLOGY
Practice Location Address:

1811 EDWINA DR
VIDALIA, GA
30474-8963

Practice Phone: 912-537-8988
Practice Fax: 912-608-8037

1649470410 — SOUTHEAST GA PRIMARY PREVENT
Practice Location Address:

1811 EDWINA DR
VIDALIA, GA
30474-8963

Practice Phone: 912-537-9779
Practice Fax: 912-537-2124

Directions to “ MARK HOERMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.