HOFFMAN GERIATRIC SERVICES SC (NPI# 1396835328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396835328 |
Entity Type | Organization |
Organization Name | HOFFMAN GERIATRIC SERVICES SC |
Practice Address |
2021 S Alverno Rd Manitowoc WI 54220 |
Practice Telephone | 9206861822 |
Practice Fax Number | 9206867448 |
Mailing Telephone | 9206861822 |
Mailing Fax Number | 9206867448 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. TRACY L HOFFMAN (OWNER) |
Authorized Official Telephone | 9206861822 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
37871020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32241400 | 05 |
Street Address |
2021 S ALVERNO RD |
City | MANITOWOC |
State | WI |
Zip Code | 54220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548264260 | Manitowoc Health Care Center LLC | Skilled Nursing Facility | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2005-06-10 |
1346874724 | Emma S Vincent | Speech-Language Pathologist | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2020-02-25 |
1194368217 | Melanie Bardon | Occupational Therapist | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2019-10-21 |
1174011845 | Complete Care At Manitowoc LLC | Skilled Nursing Facility | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2018-04-27 |
1437527389 | Melissa Koss | Nurse Practitioner | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2015-09-09 |
1881039477 | Joann P Sorenson | Occupational Therapy Assistant | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2013-05-08 |
1235474792 | Manitowoc Health & Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2012-12-10 |
1801059340 | Tiana Lynn Schisel | Occupational Therapist | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2008-07-04 |
1235263641 | Erica Ann Helein Jansky | Speech-Language Pathologist | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2007-03-15 |
1821167057 | Melissa Ann Dallas | Physical Therapy Assistant | 2021 S Alverno Rd, Manitowoc, WI 54220-9208 | 2006-11-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
Find all providers in zip 54220 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710486121 | Integrity Senior Health | Family Medicine | 4347 Danbury Ln, Mount Pleasant, WI 53403-4022 | 2018-02-12 |
1508075409 | Jonny Alexander Macias Tejada | Family Medicine | 1020 N 12th St Ste 301, Milwaukee, WI 53233-1308 | 2007-05-21 |
1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
1801888938 | Mary C Ball | Family Medicine | 100 Silverado Dr, Stoughton, WI 53589-5406 | 2005-08-16 |
1790312171 | Sequoia Integrative Medical Services LLC | Family Medicine | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2020-03-25 |
1275174922 | Leslie Ann Las | Family Medicine | 500 East Veterans Street, Tomah, WI 54660 | 2019-10-03 |
1558795914 | Richard London, M.d., L.L.C. | Family Medicine | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2013-08-21 |
1255518437 | Galia Paganelli | Family Medicine | 800 West Ave S, La Crosse, WI 54601-8806 | 2008-01-30 |
1235349077 | Ellen Turner Wenberg | Family Medicine | 710 Riverside Dr, Waupaca, WI 54981-1941 | 2007-05-23 |
1295952208 | Michael Stephen Garrity | Family Medicine | 916 Ferry St, La Crosse, WI 54601-4717 | 2007-04-19 |
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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.