Provider Demographics
NPI:1215914007
Name:HOFFMANN, PATRICIA MARIE (DO)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 WESTOWN PKWY STE 236
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6720
Mailing Address - Country:US
Mailing Address - Phone:515-401-1950
Mailing Address - Fax:515-401-1955
Practice Address - Street 1:1200 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1406
Practice Address - Country:US
Practice Address - Phone:515-241-6372
Practice Address - Fax:515-401-1955
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02786207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA0183OtherJOHN DEERE PROVIDER #
IA050084446OtherRAILROAD MEDICARE #
IA02786OtherTRICARE PROVIDER #
IA43920OtherBLUE SHIELD PROVIDER #
IA22028OtherMIDLANDS PROVIDER #
IA2096784Medicaid
IAI5220Medicare ID - Type UnspecifiedMEDICARE PROVIDER #