DR. KENNETH R HOFSTETTER


Address: 11209 N Tatum Blvd, Suite # 110, Phoenix, AZ 85028-3091
Phone: 6022488002

DR. KENNETH R HOFSTETTER (NPI# 1891753091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891753091
Entity Type Individual
Full Name DR. KENNETH R HOFSTETTER
Credential M.D.
Practice Address 11209 N Tatum Blvd
Suite # 110
Phoenix
AZ 85028-3091
Mailing Address Po Box 14687
Scottsdale
AZ 85267-4687
Practice Telephone 6022488002
Practice Fax Number 6022488399
Mailing Telephone 4809918100
Mailing Fax Number 4809221028
Enumeration Date 2006-05-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0904X Radiology
Specialization: Nuclear Radiology
6321 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS 244947 01
AZ HEALTHNET 1Z7049 01
AZ BCBS AZ0324990 01

Office Location

Street Address 11209 N TATUM BLVD
SUITE # 110
City PHOENIX
State AZ
Zip Code 85028-3091

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124011713 Thomas W Bauch Family Medicine 11209 N Tatum Blvd, 175, Phoenix, AZ 85028-3091 2005-08-29
1750837050 Jennifer Billiard Social Worker 11209 N Tatum Blvd, #260, Phoenix, AZ 85028-6025 2016-08-28
1063861060 Matthew Wisehart Physical Therapist 11209 N Tatum Blvd, Ste B-120, Phoenix, AZ 85028-3091 2016-06-09
1861862989 Jennifer Anne Billingsley Nurse Practitioner 11209 N Tatum Blvd, Suite 255, Phoenix, AZ 85028 2015-10-01
1467876524 Melisa Ann Curry Physical Therapist 11209 N Tatum Blvd, Ste B-120, Phoenix, AZ 85028-3091 2014-02-10
1114267887 Allison M Gaylor Nurse Practitioner 11209 N Tatum Blvd, Suite 180, Phoenix, AZ 85028-3091 2013-02-18
1598011785 Jessica Lynn Giddings Nurse Practitioner 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-3091 2012-07-25
1518119692 Joanne L Schlesinger Nurse Practitioner 11209 N Tatum Blvd, Suite 260, Phoenix, AZ 85028-3091 2008-10-21
1295984987 Sonya A Bladow Chiropractor 11209 N Tatum Blvd, Ste 140, Phoenix, AZ 85028-3091 2008-09-17
1114182888 Rakesh Kumar Bagai Internal Medicine 11209 N Tatum Blvd, #260, Phoenix, AZ 85028-3091 2008-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235626565 Celice Korsten Psychologist 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 2018-04-23
1720591605 Michele Kaplan Counselor 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 2017-11-14
1154840304 Faustino M. Gonzalez, Md PC Anesthesiology 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 2017-09-19
1679092514 Savior Palliative Care LLC Family Medicine 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 2017-09-12
1437688892 Harmony Behavioral Health Behavioral Analyst 3008 E Sierra St, Phoenix, AZ 85028 2017-06-08
1275949224 Alexander D Garza Podiatrist 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 2014-07-09
1720418379 Alyssa Hale Occupational Therapy Assistant 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 2013-11-19
1932534476 Stephen Howard Garber Otolaryngology 9607 N. 43rd Way, Phoenix, AZ 85028 2013-09-03
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1285930925 Cathy Ann Payne Nurse Practitioner 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 2011-01-27
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Taxonomy Information

Taxonomy Code 2085N0904X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Nuclear Radiology

Taxonomy Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457319642 John R Bodker Radiology 2830 N 3rd St, Phoenix, AZ 85004-1042 2006-05-04
1780690610 Allan R. Britt Radiology 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2006-07-31
1720012156 James Estes Seabold Radiology 650 E Indian School Rd, Phoenix, AZ 85012-1839 2006-07-10
1477589075 Valley Radiologists Ltd Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2006-06-24
1730138751 Bob A Lewis Radiology 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 2006-05-08
1902896236 Southwest Diagnostic Imaging Ltd Radiology 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 2005-10-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841846920 Banner Imaging Services LLC Radiology 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 2019-08-14
1326091786 John Walter Millstine Radiology 3501 North Scottsdale Road, Suite 130, Scottsdale, AZ 85251 2006-05-18
1346210655 David Anthony Emmerson Radiology 7158 E Desert Moon Loop, Tucson, AZ 85750-0918 2006-01-26
1932683257 Associated Valley Radiologists Ltd Radiology 5605 W Eugie Ave Ste 110, Glendale, AZ 85304-1273 2018-09-21
1568805695 Al Sardari Radiology 3601 S 6th Ave, Tucson, AZ 85723 2013-04-08
1609187418 Icrc, P.C. Radiology 695 S Dobson Rd, Chandler, AZ 85224-5665 2010-06-25
1992925705 Vasanti Deuskar Radiology 500 N. Hwy 89, Prescott, AZ 86313 2007-04-26
1174687388 James M Woolfenden Radiology 1501 N Campbell Ave, Tucson, AZ 85724-0001 2006-12-21
1760557292 Walter H Williams Radiology 1501 N Campbell Ave, Tucson, AZ 85724-0001 2006-11-21
1407823610 Scottsdale Medical Imaging, Ltd Radiology 3501 N Scottsdale Rd, #130, Scottsdale, AZ 85251-5648 2006-03-07
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Competitor

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City PHOENIX
Zip Code 85028

Improve Information

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Dataset Information

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.

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