MELISSA BROOKE HOFFMAN (NPI# 1912392903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912392903 |
| Entity Type | Individual |
| Full Name | MELISSA BROOKE HOFFMAN |
| Credential | M.D. |
| Practice Address |
4618 Country Club Rd Winston Salem NC 27104-3520 |
| Practice Telephone | 3367162768 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279707 | Melissa J. Hoffman | Psychiatry & Neurology | 1828 Foxfire Dr, Lawrence, KS 66047-2015 | 2019-05-08 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1336404714 | Melissa G Hoffman | Specialist | 1751 New York State Route 17a, Florida, NY 10921 | 2012-07-11 |
| 1124053947 | Melissa Yvette Hoffman | Occupational Therapist | 3021 Kensington Ln, Valdosta, GA 31602-4010 | 2006-07-11 |
| 1003384884 | Melissa M Hoffman | Occupational Therapist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2018-11-09 |
| 1366948747 | Melissa Jo Hoffman | Occupational Therapist | 1804 Centre Point Cir Ste 102, Naperville, IL 60563-4849 | 2018-04-04 |
| 1861718074 | Melissa Red Hoffman | Surgery | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2010-04-13 |
| 1851539654 | Melissa Hoffman | Counselor | 195 Miles St, Athens, GA 30601-1820 | 2009-02-02 |
| 1740427202 | Melissa Ellen Hoffman | Speech-Language Pathologist | 6 Pearl Dr, Plainview, NY 11803-3810 | 2009-01-20 |
| 1528216587 | Melissa Julia Hoffman | Social Worker | 800 W State St, Suite 303, Doylestown, PA 18901-2250 | 2008-09-03 |
| Street Address |
4618 COUNTRY CLUB RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063175 | Steven Richard Feldman | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-08 |
| 1487213047 | Diana Isabel Munoz Ali | Nurse Practitioner | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2019-06-07 |
| 1629544689 | Kimberly Kincaid Mcpeeks | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2018-10-17 |
| 1861842031 | Leonora Culp Bomar | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2016-06-17 |
| 1083031090 | Jessica Alexis Savas | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2014-03-27 |
| 1164779997 | Amber Brewer Keller | Physician Assistant | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2012-08-10 |
| 1629272455 | William Wei-ting Huang | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2007-06-14 |
| 1841228335 | Adele Clark | Physician Assistant | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2006-06-30 |
| 1316923360 | Joseph Lucius Jorizzo | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-21 |
| 1518943943 | Phillip Mabon Williford | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1366040503 | William Tommy Sparks | Student in an Organized Health Care Education/Training Program | 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 | 2020-10-10 |
| 1386258432 | Valerie Miller | Student in an Organized Health Care Education/Training Program | 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1942814074 | Joyous Hawkins | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1326652504 | Emily Claire Skoglund | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 | 2020-09-03 |
| 1750903233 | Rachel Elizabeth Crespi | Student in an Organized Health Care Education/Training Program | 3517 Summerfield Ln, Winston Salem, NC 27106-4295 | 2020-05-07 |
| 1023639325 | Christopher Gregg Marler Jr. | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 | 2020-04-28 |
| 1912526005 | Hunter Bright Yancey | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 | 2020-04-09 |
| 1033748371 | Chukwuweike U Gwam | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 | 2020-04-08 |
| 1386273175 | Mehrnoosh Ghandili | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-03 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.