DR. MARK T HOFFMANN (NPI# 1356342034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356342034 |
| Entity Type | Individual |
| Full Name | DR. MARK T HOFFMANN |
| Credential | MD |
| Practice Address |
500 Wind Ridge Dr Wausau WI 54401-4173 |
| Practice Telephone | 7158472611 |
| Practice Fax Number | 7158472465 |
| Mailing Telephone | 7158472611 |
| Mailing Fax Number | 7158472465 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35269 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35269 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32014700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223272 | Mark Frederick Hoffmann | Obstetrics & Gynecology | 2710 E Harney St, Suite 100, Laramie, WY 82072-2884 | 2005-05-23 |
| 1770559148 | Mark Elmer Hoffmann | Emergency Medicine | 1406 6th Ave N, St Cloud Hospital Emergency Trauma Center, St Cloud, MN 56301 | 2006-02-27 |
| 1164413837 | Mark D. Hoffmann | Family Medicine | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-11-02 |
| Street Address |
500 WIND RIDGE DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644409 | Timothy P Grady | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2005-07-29 |
| 1942852504 | Patrick Henry Drechsler | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2019-07-14 |
| 1306407010 | Abbey Crossman | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2019-06-24 |
| 1144755232 | Kali Kann | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2017-04-26 |
| 1437699717 | Meghan Walls | Registered Nurse | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2017-03-06 |
| 1477905909 | Aaron Follensbee | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2016-07-08 |
| 1548688419 | Aspirus Wausau Hospital, Inc. | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2014-03-28 |
| 1336497197 | Jennifer Therese Krall | Nurse Practitioner | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2012-08-27 |
| 1336424316 | Deborah Sauer | Nurse Practitioner | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2011-10-20 |
| 1033411822 | Aspirus Clinics Inc. | Clinic/Center | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2010-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740788025 | Cardiac Cin of Milwaukee LLC | Internal Medicine | 310 E Buffalo St Ste 201, Milwaukee, WI 53202-5808 | 2018-01-31 |
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1669765681 | Nolan P Machernis | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 474, Milwaukee, WI 53215-3693 | 2011-05-24 |
| 1437123049 | Harinder Singh Gill | Internal Medicine | 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 | 2006-02-13 |
| 1912998576 | Thomas G Fenske | Internal Medicine | 2801 W. Kinnickinnic River Pkwy., Suite 925, Milwaukee, WI 53215 | 2005-11-02 |
| 1437660487 | Dr Ayhan Zia Sc | Internal Medicine | 2741 W Layton Ave, Milwaukee, WI 53221-2600 | 2017-10-17 |
| 1861734014 | Sean Michael Sliman | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2013-03-25 |
| 1730436817 | Muhammad Shahreyar | Internal Medicine | 3801 Spring St, Mount Pleasant, WI 53405 | 2012-08-08 |
| 1811216229 | Iyad Azzam | Internal Medicine | 36500 Aurora Dr, Summit, WI 53066 | 2010-05-25 |
| 1306161500 | Gaurav Tyagi | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2010-03-30 |
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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.