Basic Information
Provider Information | |||||||||
NPI: | 1467473017 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | HOFFER | ||||||||
FirstName: | BARBARA | ||||||||
MiddleName: | ANN | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | DO | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1623 MORGANTOWN RD | ||||||||
Address2: |   | ||||||||
City: | READING | ||||||||
State: | PA | ||||||||
PostalCode: | 196079455 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6107966354 | ||||||||
FaxNumber: | 6107966470 | ||||||||
Practice Location | |||||||||
Address1: | 1623 MORGANTOWN RD | ||||||||
Address2: |   | ||||||||
City: | READING | ||||||||
State: | PA | ||||||||
PostalCode: | 196079455 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6107966354 | ||||||||
FaxNumber: | 6107966470 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/21/2006 | ||||||||
LastUpdateDate: | 06/06/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | OS008522L | PA | Y |   | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |   |
ID Information
ID | Type | State | Issuer | Description | 000004537 | 01 |   | HIGHMARK BLUE SHIELD PRAC | OTHER | 000004537 | 01 |   | KEYSTONE HEALTH PLAN CENT | OTHER | 0719262000 | 01 |   | INDEPENDENCE BLUE CROSS | OTHER | 0719262000 | 01 |   | AMERIHEALTH INC | OTHER | 20011427 | 01 |   | AMERIHEALTH MERCY | OTHER | 213983 | 01 |   | HEALTH AMERICAL HEALTH AS | OTHER | 000004516 | 01 |   | KEYSTONE HEALTH PLAN CENT | OTHER | 02339200 | 01 |   | CAPITAL BLUE CROSS CAPITA | OTHER | 1126232 | 01 |   | KEYSTONE MERCY | OTHER | 138160 | 01 |   | THREE RIVERS UNISON | OTHER | 0017939700001 | 05 | PA |   | MEDICAID | 233026520 | 01 |   | BERKSHIRE HEALTH PARTNERS | OTHER | 0044950000 | 01 |   | KEYSTONE HEALTH PLAN EAST | OTHER | 152828 | 01 |   | GATEWAY AND GATEWAY MEDIC | OTHER | 000004516 | 01 |   | HIGHMARK BLUE SHIELD GROU | OTHER | 1525730 | 01 |   | GATEWAY AND GATEWAY MEDIC | OTHER | 2330265200001 | 01 |   | CIGNA | OTHER | J04516 | 01 |   | AMERIHEALTH ADMINISTRATOR | OTHER |