Organization Active NPI

Dr Edward Hoffman Professional Corporation

  • Primary Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1013241033
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
OS229 Issued in NV
Legal business name
DR EDWARD HOFFMAN PROFESSIONAL CORPORATION
Practice address
8350 W Sahara Ave
270
Las Vegas, NV 89117-8939
Phone
(702) 243-8100
Fax
(702) 360-9416
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edward Hoffman, DONPI 1528184785
Title
President
Phone
(702) 243-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OS229 NV Primary

Addresses

Primary practice location

8350 W Sahara Ave
270
Las Vegas, NV 89117-8939

Mailing address

8350 W Sahara Ave
270
Las Vegas, NV 89117-8939
Phone (702) 243-8100

Other names 1

  • Summerlin Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091008000007 NV Part B Supplier - Clinic/Group Practice 5799821559 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

8350 W Sahara Ave
Ste 270
Las Vegas, NV 89117
Phone (702) 243-8100

8350 W Sahara Ave
Ste 170
Las Vegas, NV 89117
Phone (702) 243-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1013241033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W SAHARA AVE",
            "address_2": "270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178939",
            "telephone_number": "702-243-8100",
            "fax_number": "702-360-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W SAHARA AVE",
            "address_2": "270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178939",
            "telephone_number": "702-243-8100",
            "fax_number": "702-360-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDWARD HOFFMAN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-243-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "OS229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.