NPIMap

Organization Active NPI

Gary W Hoelle

  • Primary Podiatric Medicine Podiatrist
  • Princeton, IL
National Provider Identifier
1669654026
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016-003249 Issued in IL
Legal business name
GARY W HOELLE
Practice address
530 Park Ave E
Suite 301
Princeton, IL 61356-3901
Phone
(815) 872-3034
Fax
(815) 872-3019
NPI assigned
Nov 28, 2007
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Dr. Gary W Hoelle, D.P.M.
Title
Doctor
Phone
(815) 872-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 016-003249 IL Primary

Addresses

Primary practice location

530 Park Ave E
Suite 301
Princeton, IL 61356-3901

Mailing address

530 Park Ave E
Suite 301
Princeton, IL 61356-3901
Phone (815) 872-3034

National Provider Directory

National Provider Directory

Locations

530 Park Ave E
Ste 301
Princeton, IL 61356
Phone (815) 872-1221

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1669654026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "address_2": "SUITE 301",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563901",
            "telephone_number": "815-872-3034",
            "fax_number": "815-872-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "address_2": "SUITE 301",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613563901",
            "telephone_number": "815-872-3034",
            "fax_number": "815-872-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W HOELLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "HOELLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-872-3034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016-003249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.