DRS. HOFFMAN, BIRMINGHAM & ASSOCIATES, INC. (NPI# 1306864749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306864749 |
| Entity Type | Organization |
| Organization Name | DRS. HOFFMAN, BIRMINGHAM & ASSOCIATES, INC. |
| Practice Address |
45 St Lawrence Dr Tiffin OH 44883-8310 |
| Mailing Address |
Po Box 1108 Attn: Barb Simmons Ann Arbor MI 48106-1108 |
| Practice Telephone | 4194483100 |
| Practice Fax Number | 4194483155 |
| Mailing Telephone | 7346777400 |
| Mailing Fax Number | 7346777407 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-08-14 |
| Authorized Official Name | KOMMULA C RAO (PRESIDENT) |
| Authorized Official Telephone | 4194473100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BCBS GROUP # | 000000024792 | 01 |
| OH | RR MEDICARE | CK3646 | 01 |
| OH | MEDICARE RR GROUP PIN | CK3646 | 01 |
| Street Address |
45 ST LAWRENCE DR |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074741 | Corie Lynn Kovach | Obstetrics & Gynecology | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2005-12-22 |
| 1477169951 | Dalibor Tomljenovic | Registered Nurse | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2020-09-19 |
| 1851911903 | Jordan Gase | Speech-Language Pathologist | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2020-04-19 |
| 1720642937 | Joseph Baiera II | Registered Nurse | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2019-04-24 |
| 1467923706 | Casey L Banks-sherer | Speech-Language Pathologist | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2018-12-16 |
| 1720587033 | Kayla M Puntel | Nurse Anesthetist, Certified Registered | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2018-02-02 |
| 1073052288 | Mercy Health Tiffin Hospital | Pharmacy | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2017-02-21 |
| 1831643782 | David Gardner | Pharmacist | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2016-08-09 |
| 1447623269 | Silverado Emergency Physicians, LLC | Physician Assistant | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2015-11-02 |
| 1477925378 | Checker Emergency Physicians, LLC | Physician Assistant | 45 St Lawrence Dr, Tiffin, OH 44883-8310 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699700021 | Dong Soo Park | Radiology | 485 W Market St, Tiffin, OH 44883 | 2006-07-12 |
| 1093740425 | Kommula Chiranjeevi Rao | Radiology | 485 W Market St, Tiffin, OH 44883 | 2006-07-12 |
| 1447285879 | Jung Joo Suh | Radiology | 485 W Market St, Tiffin, OH 44883 | 2006-07-12 |
| 1174558506 | Jorge Cepeda | Radiology | 485 W Market St, Tiffin, OH 44883 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645813 | Lumina Imaging | Radiology | 8401 Mentor Ave Ste B, Mentor, OH 44060-5843 | 2020-10-07 |
| 1700490943 | Katrina Overbey | Radiology | 4604 Northridge Dr, Batavia, OH 45103-1329 | 2020-09-04 |
| 1235752981 | Infinity Teleradiology LLC | Radiology | 17365 Lookout Dr, Chagrin Falls, OH 44023-2135 | 2020-05-28 |
| 1811481120 | Northern Ohio Medical Specialists LLC | Radiology | 2800 Hayes Ave Bldg C130, Sandusky, OH 44870-7248 | 2018-06-20 |
| 1922528595 | Advantage Imaging, LLC | Radiology | 1120 Polaris Pkwy Ste 105, Columbus, OH 43240-4042 | 2017-06-23 |
| 1568845279 | Rod Momenian | Radiology | 9500 Euclid Ave # Oh44195, Cleveland, OH 44195-1716 | 2015-06-30 |
| 1356756159 | Jerald Eckman | Radiology | 8645 Mallard Cir, Plain City, OH 43064-6004 | 2014-07-01 |
| 1770995854 | Proscan Womens Imaging At Redbank LLC | Radiology | 11594 Springfield Pike, Suite 26, Cincinnati, OH 45246-3527 | 2014-05-23 |
| 1104248467 | Mobile X Ray Express, LLC | Radiology | 1020 Township Road 145, Ironton, OH 45638-8593 | 2014-01-06 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
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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.