Physician Compare National (NPI:1962662676)

HEALTHCARE PROVIDER: KURT L HOFFMAN 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	1962662676
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072756840
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130826000902
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOFFMAN
	Individual professional last name
Provider First Name	KURT
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CIGNA HEALTHCARE OF ARIZONA INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1456263573
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	137
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	755 E MCDOWELL RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	PHOENIX
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	850062506
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6022715111
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y