Individual provider Active NPI

John Arthur Hoepner, M.D.

  • Specialist
  • Syracuse, NY
National Provider Identifier
1164419263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1147831 Issued in NY
Practice address
612 University Ave
Syracuse, NY 13210-1807
Phone
(315) 422-2020
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20090713000581 NY Practitioner - Ophthalmology 6608864202 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1147831NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Medical Service Group Inc CurrentSince Jan 1, 1997 Accepting new patients
Ophthalmological Associates of Syracuse MD,PC Specialist CurrentSince Jul 1, 1966 Accepting new patients
Ocutique Past Accepting new patients

Locations

612 University Ave
Syracuse, NY 13210
Phone (315) 422-2020

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1147831 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

612 University Ave
Syracuse, NY 13210-1807

Mailing address

612 University Ave
Syracuse, NY 13210-1807
Phone (315) 422-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164419263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 UNIVERSITY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101807",
            "telephone_number": "315-422-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 UNIVERSITY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101807",
            "telephone_number": "315-422-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEPNER",
        "first_name": "JOHN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1147831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.