1467473017 NPI number — DR. BARBARA ANN HOFFER DO

Table of content: THERESE MARIE ALVAREZ (NPI 1912877218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467473017 NPI number — DR. BARBARA ANN HOFFER DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOFFER
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467473017
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1623 MORGANTOWN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
READING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19607-9455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-796-6354
Provider Business Mailing Address Fax Number:
610-796-6470

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1623 MORGANTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19607-9455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-796-6354
Provider Business Practice Location Address Fax Number:
610-796-6470
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  OS008522L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000004537 . This is a "HIGHMARK BLUE SHIELD PRAC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000004537 . This is a "KEYSTONE HEALTH PLAN CENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0719262000 . This is a "INDEPENDENCE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0719262000 . This is a "AMERIHEALTH INC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20011427 . This is a "AMERIHEALTH MERCY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 213983 . This is a "HEALTH AMERICAL HEALTH AS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000004516 . This is a "KEYSTONE HEALTH PLAN CENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02339200 . This is a "CAPITAL BLUE CROSS CAPITA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1126232 . This is a "KEYSTONE MERCY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 138160 . This is a "THREE RIVERS UNISON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0017939700001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 233026520 . This is a "BERKSHIRE HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0044950000 . This is a "KEYSTONE HEALTH PLAN EAST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 152828 . This is a "GATEWAY AND GATEWAY MEDIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000004516 . This is a "HIGHMARK BLUE SHIELD GROU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1525730 . This is a "GATEWAY AND GATEWAY MEDIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2330265200001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: J04516 . This is a "AMERIHEALTH ADMINISTRATOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 114463200 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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