Jenny Sue Wing Hoelter, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD27426 Issued in OR

Practice address

891 23Rd St NE
Childhood Health Associates of Salem
Salem, OR 97301

Phone

(503) 364-2181

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Childhood Health Associates of Salem

  • Pediatrics Physician
  • Salem, OR
  • NPI 1467677864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1184758765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 COURT ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014326",
            "telephone_number": "971-239-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "address_2": "CHILDHOOD HEALTH ASSOCIATES OF SALEM",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-364-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELTER",
        "first_name": "JENNY",
        "middle_name": "SUE WING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD27426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Hodges, LMT
• Timothy C. Hodges, MD
• Abigail Heppner Hodgson, D.C.
• Lauren A Hodgson, PA-C
• Bryan H Hodson, MA, LPC
• Kyle P Hoesterey, MD
• Sharon Lee Hoevet, B.S., CADC II, CHW
• Ronald Lloyd Hofeldt, MD
• Courtney Faith Hoffman, DPT
• Donna Estelle Hoffman, RN

• Pediatrics Physician in Salem, OR
• Providers in Salem, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.