MR. GEOFFREY W HOFFA


Address: 3120 W Carefree Hwy, Suite 1, Pmb# 529, Phoenix, AZ 85086-3201
Phone: 4802680561

MR. GEOFFREY W HOFFA (NPI# 1417931890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417931890
Entity Type Individual
Full Name MR. GEOFFREY W HOFFA
Credential P.A.-C.
Practice Address 3120 W Carefree Hwy
Suite 1, Pmb# 529
Phoenix
AZ 85086-3201
Practice Telephone 4802680561
Practice Fax Number 4803232617
Mailing Telephone 4802680561
Mailing Fax Number 4803232617
Enumeration Date 2005-11-30
Last Update Date 2008-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2396 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2396 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 702870 05

Office Location

Street Address 3120 W CAREFREE HWY
SUITE 1, PMB# 529
City PHOENIX
State AZ
Zip Code 85086-3201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558564153 Lori Lynn Haas Occupational Therapy Assistant 3120 W Carefree Hwy, Ste 1-205, Phoenix, AZ 85086-3201 2007-06-09
1225050164 Marie F Hatam Clinic/Center 3120 W Carefree Hwy, Ste. 700-1, Phoenix, AZ 85086 2006-07-23

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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