JAMES W HOFTIEZER (NPI# 1932217924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932217924 |
Entity Type | Individual |
Full Name | JAMES W HOFTIEZER |
Credential | M.D. |
Practice Address |
1900 Woodland Dr Manitowoc WI 54220-9662 |
Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
Practice Telephone | 9203206212 |
Practice Fax Number | 9206845548 |
Mailing Telephone | 9203202591 |
Mailing Fax Number | 9206845548 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-11-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
22886 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | CHAMPUS | 3908063950002 | 01 |
WI | WEA | 100003091 | 01 |
WI | NETWORK HEALTHPLAN | B53650 | 01 |
WI | TOUCHPOINT | 22886 | 01 |
WI | 30307800 | 05 | |
WI | ANTHEM | 7805 | 01 |
WI | RAILROAD MEDICARE | 110080078 | 01 |
Street Address |
1900 WOODLAND DR |
City | MANITOWOC |
State | WI |
Zip Code | 54220-9662 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790160729 | Ashley Micksch | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-20 |
1356724686 | Abbey Bubolz | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-06 |
1891198735 | Jennifer L. Weier | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2014-10-07 |
1215275409 | Ashley Elaine Holly | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2013-01-22 |
1841495058 | Jeremy Robert Anclam | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2007-06-18 |
1639287618 | Michael D Hoftiezer | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
1891803862 | Pradeep Giriyappa | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
1780792887 | William Alvarez | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
1073621199 | Mary A Govier | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
1568448025 | Robert R Cornwell | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2005-12-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
Find all providers in zip 54220 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780792887 | William Alvarez | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
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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.