Provider Demographics
NPI:1063440444
Name:HOFFMAN, SANFORD ROY (MD)
Entity type:Individual
Prefix:
First Name:SANFORD
Middle Name:ROY
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14510 W SHUMWAY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5815
Mailing Address - Country:US
Mailing Address - Phone:623-975-1660
Mailing Address - Fax:623-584-4282
Practice Address - Street 1:14510 W SHUMWAY DR STE 101
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5815
Practice Address - Country:US
Practice Address - Phone:623-975-1660
Practice Address - Fax:623-584-4282
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31846207Y00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ040016859OtherRRB
AZ020539454OtherHUMANA
AZ020539454OtherDEPT OF LABOR-FECA
AZ020539454OtherSUN HEALTH CORPORATION
AZ1063440444OtherBCBS
AZ020539454OtherUNITED HEALTHCARE
AZ020539454OtherSECURE HORIZONS
AZ020539454OtherPACIFICARE
AZ020539454OtherBLUE CROSS BLUE SHIELD
AZ818932OtherAHCCCS
AZ121702Medicare PIN
AZ020539454OtherSECURE HORIZONS