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Dr. Glen Theodore Hofstrom, MD

Family Medicine Physician in South Williamsport, PA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619939550

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Registry record

Entity type Individual (Type 1)
Name Dr. Glen Theodore Hofstrom
Credential MD
Sex Male
Practice address 145 Shaffer St, South Williamsport, PA, 17702
Fax (570) 326-1247
Enumeration date Apr 5, 2006
Last updated in NPPES Oct 20, 2011

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD019823E (PA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
544226 Other PA AETNA
001793 Other PA FIRST PRIORITY HEALTH
B34545 Other PA HEALTHAMERICA
0010813260001 Medicaid PA -
057619 Other PA HIGHMARK BLUE SHIELD
1553395 Other PA UNITEDHEALTHCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Glen Hofstrom's NPI record?
Cross-check NPI 1619939550 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1619939550 active?
Yes, as of the latest NPPES snapshot, NPI 1619939550 is active (record last updated 2011-10-20).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-20.