Individual provider Active NPI

Douglas W Hoch, MD

  • Family Medicine Physician
  • Corydon, IA
National Provider Identifier
1275513301
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20625 Issued in IA
Practice address
417 S. East St.
Corydon, IA 50060-1860
Phone
(641) 872-2063
Fax
(641) 872-2070
NPI assigned
Jan 17, 2006
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20625 IA Primary

Addresses

Primary practice location

417 S. East St.
Corydon, IA 50060-1860

Mailing address

PO Box 365
Corydon, IA 50060-0365
Phone (641) 872-2063

Other identifiers 5

IdentifierTypeStateIssuer
40860OtherIABCBS
7150664MedicaidIA
080109585OtherIARR MEDICARE
6150664MedicaidIA
40861OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000072 IA Practitioner - Family Practice 3072649169 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20625IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital Current Accepting new patients
Wayne County Hospital Past Accepting new patients
Wayne Family Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

417 S East St
Ste 100
Corydon, IA 50060
Phone (515) 872-2063

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1275513301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500600365",
            "telephone_number": "641-872-2063",
            "fax_number": "641-872-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S. EAST ST.",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601860",
            "telephone_number": "641-872-2063",
            "fax_number": "641-872-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCH",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "20625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40860",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7150664",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080109585",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6150664",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40861",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

Verify at the official NPI Registry.