David Bruce Hoeksema, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704113698 Issued in MI

Practice address

999 Washington Ave
Holland, MI 49423-7722

Phone

(616) 396-5493

Fax

(616) 396-0085

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215044904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 OLD LAKE CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464352",
            "telephone_number": "269-945-2176",
            "fax_number": "269-945-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237722",
            "telephone_number": "616-396-5493",
            "fax_number": "616-396-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSEMA",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704113698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4313264",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "QMXPR0028402",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "4308752770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Renee Hoekenga, PTA
• Mary Ann Hoekje Gonzalez, MS, LLPC, NCC
• Hillichien W Hoekman, MD
• Peter Klaas Hoekman, M.D.
• Hoeksema Psychological Services, P.C.
• James Henry Hoeksema, PSY.D.
• Alexandria R Hoekstra, LLC
• Cornelius William Henry Hoekstra, DDS
• Maria C Hoekstra, DDS FAGD
• Douglas James Hoey, MD

• Certified Registered Nurse Anesthetist in Holland, MI
• Providers in Holland, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.