Active NPI
Sean Edawrd Hoffman, PA-C
- Medical Physician Assistant
- Agawam, MA
National Provider Identifier
1811261555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA4366
- Practice address
- 230 Main St
Agawam, MA 01001-1838 - Phone
- (413) 789-6800
- NPI assigned
- Feb 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA4366 | MA | Primary |
Addresses
Primary practice location
230 Main St
Agawam, MA 01001-1838
Mailing address
230 Main St
Agawam, MA 01001-1838
Phone (413) 789-6800
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4366 | MA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Connecticut, P.C. | Current | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients |
Locations
68 Division St
Derby, CT 06418
Phone (203) 732-6802
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba MedExpress Urgent Care - Middletown, Washington St
- Urgent Care Clinic/Center
- Middletown, CT
- NPI 1508389859
-
dba RiverBend Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1811261555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 MAIN ST",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010011838",
"telephone_number": "413-789-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MAIN ST",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010011838",
"telephone_number": "413-789-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "SEAN",
"middle_name": "EDAWRD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA4366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agawam, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.