Carol L Hoeksema, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00022916 Issued in WA

Practice address

9631 269TH St NW
Stanwood, WA 98292-8071

Phone

(360) 629-1600

Fax

(360) 428-6485

NPI assigned

Oct 17, 2005

Sex

Female

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

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1467441063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9631 269TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928071",
            "telephone_number": "360-629-1600",
            "fax_number": "360-428-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSEMA",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00022916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016914",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret B Heller, PA-C
• Johanna Marie Hendry Aranda
• Ana Cecilia Hernandez, MD
• Anthony Lister Hewlett, D.D.S.
• Magdalena Marie Hite, MS, ATC, LAT
• Mary Hoffman, RN
• Amanda Holmes
• Jennifer Paige Hoorn, PTA
• Daniel Wesley Roy Howard
• Barbara Gifford Hughes, L.AC.

• Family Medicine Physician in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.