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DR. JENNIFER A HOFSTRA MD NPI 1003079120


NPI Information

NPI: 1003079120
Provider Name: DR. JENNIFER A HOFSTRA, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1055 N CURTIS ROAD
BOISE, ID
ZIP 83706
Phone: (757) 446-8920
Get Directions

DR. Jennifer A Hofstra, MD is an internal medicine in Boise, ID with 17 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Jennifer A Hofstra, MD NPI is 1003079120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2007

The provider's business location address is:

1055 N CURTIS ROAD
BOISE, ID
ZIP 83706
Phone: (757) 446-8920
Fax: (757) 446-5242

The NPI 1003079120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 11/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine0101247286VIRGINIANo
2207R00000XInternal MedicineM-13462IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110060934OTHERVIRGINIAOPTIMA HEALTH
2PAROTHERVIRGINIAAETNA
3PAROTHERVIRGINIAFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
4PAROTHERVIRGINIAUSA MANAGED CARE
5P00863710MEDICARE PINVIRGINIA
6PAROTHERVIRGINIAVA PREMIER HEALTH
7PAROTHERVIRGINIAVA HEALTH NETWORK
8PAROTHERVIRGINIAUNITED HEALTH CARE/MAMSI
9PAROTHERVIRGINIACORVEL/CORCARE
10PAROTHERVIRGINIAMULTIPLAN
11407988OTHERVIRGINIAANTHEM BC/BS
12VAA101009MEDICARE PINVIRGINIA
13PAROTHERVIRGINIACIGNA
141003079120MEDICAIDVIRGINIA
15-028OTHERVIRGINIATRICARE/CHAMPUS
165915448MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.