Provider Demographics
NPI:1548481203
Name:HOFFMASTER, ALISON JEANELLE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:JEANELLE
Last Name:HOFFMASTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4718
Mailing Address - Country:US
Mailing Address - Phone:410-750-2391
Mailing Address - Fax:
Practice Address - Street 1:3800 FREDERICK AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-3618
Practice Address - Country:US
Practice Address - Phone:410-233-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0002817363AM0700X
PAPA00634363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDC0002817OtherPHYSICIANS ASSISTANT
PAPA00634OtherPHYSICIANS ASSISTANT
PAPA00634OtherPHYSICIANS ASSISTANT