Physician Compare National (NPI:1295736494)

HEALTHCARE PROVIDER: STEPHEN A HOFFMANN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1295736494
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406020775
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111123000044
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOFFMANN
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	ARNOLD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	61 LINCOLN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	FRAMINGHAM
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	017028264
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220175
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METROWEST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	220101
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NEWTON-WELLESLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	220119
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y