DR. KEVIN LEE HOFFARTH (NPI# 1275530826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275530826 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LEE HOFFARTH |
| Credential | MD |
| Practice Address |
200 Medical Pkwy Suite 310 Lakeway TX 78738-1782 |
| Practice Telephone | 5126542100 |
| Practice Fax Number | 5126542110 |
| Mailing Telephone | 5126542100 |
| Mailing Fax Number | 5126542110 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P3000 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A81044 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A810440 | 05 | |
| NV | 100508675 | 05 | |
| NV | 100508905 | 05 |
| Street Address |
200 MEDICAL PKWY SUITE 310 |
| City | LAKEWAY |
| State | TX |
| Zip Code | 78738-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679020986 | U S Anesthesia Partners of Texas | Anesthesiology | 200 Medical Pkwy, Suite 380, Lakeway, TX 78738-1791 | 2016-09-02 |
| 1619355724 | Lrmc Neurosurgery, Inc. | Neurological Surgery | 200 Medical Pkwy, Suite 310, Lakeway, TX 78738-1791 | 2015-05-08 |
| 1467799601 | Sleep Apnea Associates of Texas, Pllc | Dentist | 200 Medical Pkwy, Suite 270, Lakeway, TX 78738-1782 | 2013-01-08 |
| 1669718672 | Lrmc Orthopedics, Inc. | Orthopaedic Surgery | 200 Medical Pkwy, Suite 130, Lakeway, TX 78738-1782 | 2012-12-19 |
| 1679831077 | Matthew Blake Freeman | Psychiatry & Neurology | 200 Medical Pkwy, Lakeway, TX 78738-1792 | 2012-04-24 |
| 1689948879 | Brett E Smith | Podiatrist | 200 Medical Pkwy, Ste 130, Lakeway, TX 78738 | 2012-03-06 |
| 1477884740 | Star State Heart Pllc | Internal Medicine | 200 Medical Pkwy, Suite 270, Lakeway, TX 78738-1782 | 2010-01-26 |
| 1548390909 | Naresh Venkat Desireddi | Urology | 200 Medical Pkwy, #350, Lakeway, TX 78738-1791 | 2007-03-06 |
| 1437232170 | Katherine A. Gilliland | Nurse Practitioner | 200 Medical Pkwy, Lakeway, TX 78738-1791 | 2006-10-24 |
| 1295796431 | Russell David Calvo Jr. | Orthopaedic Surgery | 200 Medical Pkwy, 130, Lakeway, TX 78738-1791 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
| 1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
| 1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
| 1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
| 1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
| 1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
| 1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
| 1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
| Find all providers in zip 78738 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821558859 | Melody C Mateo | Family Medicine | 1008 Rr 620 S Ste 200, Lakeway, TX 78734-5633 | 2019-03-25 |
| 1376735803 | Dewitt Family Care Clinic | Family Medicine | 1700 Rr 620 S, Suite B, Lakeway, TX 78734-6245 | 2007-08-17 |
| 1598815748 | Michael Ernest John Archuleta | Family Medicine | 1100 Lakeway Dr Ste 101, Lakeway, TX 78734-4480 | 2007-01-11 |
| 1952402638 | Doris Robitaille | Family Medicine | 1411 Ranch Road 620 S, Lakeway, TX 78734-6317 | 2006-09-26 |
| 1336258847 | Daniel V Freeland | Family Medicine | 1008 Ranch Road 620 S Ste 200, Lakeway, TX 78734-5633 | 2006-08-29 |
| 1275546269 | Ronald Glenn Dewitt | Family Medicine | 1700 Ranch Road 620 S, Suite B, Lakeway, TX 78734-6245 | 2006-08-14 |
| 1073540381 | Timothy John Doyle | Family Medicine | 1008 Rr 620 S, Ste 200, Lakeway, TX 78734-5633 | 2006-06-26 |
| 1164865788 | Tara Kulkarni | Family Medicine | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2013-04-12 |
| 1447492731 | Dewitt Family Care Clinic, Pa | Family Medicine | 1700 Rr 620 S, Suite B, Lakeway, TX 78734-6245 | 2009-04-01 |
| 1639288996 | Dan Freeland Do Pa | Family Medicine | 1008 Ranch Road 620 S Ste 200, Lakeway, TX 78734-5633 | 2006-08-30 |
| Find all providers in LAKEWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.