Charles R Hoidal, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

39952 Issued in NC

Practice address

615 S Hughes Blvd
Elizabeth City, NC 27909-4785

Phone

(252) 338-3111

Fax

(252) 333-3774

NPI assigned

Sep 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26685/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1427042779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111",
            "fax_number": "252-333-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094785",
            "telephone_number": "252-338-3111",
            "fax_number": "252-333-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOIDAL",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "39952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8942947",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Harris Hines, DMD
• Zion Dierra Hines
• Lisa Hobbs, RBT
• Shannon Nicole Hogan
• Carolyn Louise Hoidal
• Robert O Holt, MD
• Home Care of the Albemarle LLC
• Home Helpers Elite Inc
• Home Life Care, Inc.
• Jennifer Hopfensperger, DDS

• Emergency Medicine Physician in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.