Active NPI
Edward Lewis Hoffman, M.D.
- Pediatric Neurodevelopmental Disabilities Physician
- Aurora, CO
National Provider Identifier
1558307322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- License
- DR.0054414
- Practice address
- 13123 E 16TH Ave
B-140
Aurora, CO 80045-7106 - Phone
- (720) 777-6630
- Fax
- (720) 777-7868
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04-25510 | KS | |
| Pediatrics Physician | 208000000X | 102211 | MO | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 04-25510 | KS | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 102211 | MO | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 04-25510 | KS | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | 102211 | MO | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | DR.0054414 | CO | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | DR.0054414 | CO | |
| Pediatrics Physician | 208000000X | DR.0054414 | CO |
Addresses
Primary practice location
13123 E 16TH Ave
B-140
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0054414 | CO | MD | Developmental - Behavioral Pediatrics Physician |
| 04-25510 | KS | MD | Developmental - Behavioral Pediatrics Physician |
| 102211 | MO | MD | Pediatric Neurodevelopmental Disabilities Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1558307322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE",
"address_2": "B-140",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-6630",
"fax_number": "720-777-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "EDWARD",
"middle_name": "LEWIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "04-25510",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "102211",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "KS",
"license": "04-25510",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MO",
"license": "102211",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "KS",
"license": "04-25510",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "MO",
"license": "102211",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "CO",
"license": "DR.0054414",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CO",
"license": "DR.0054414",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0054414",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.