Individual provider Active NPI

Peter R Hoy, DO

  • Emergency Medicine Physician
  • Marysville, OH
National Provider Identifier
1700825825
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34003316 Issued in OH
Practice address
500 London Ave
Marysville, OH 43040-5512
Phone
(937) 644-6115
Fax
(937) 578-2812
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 34003316 OH
Emergency Medicine Physician 207P00000X 34003316 OH Primary

Addresses

Primary practice location

500 London Ave
Marysville, OH 43040-5512

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 2

IdentifierTypeStateIssuer
0529262MedicaidOH
000000315464OtherOHBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040210000655 OH Practitioner - Emergency MedicinePractitioner - Physical Medicine and Rehabilitation 9739088824 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34003316OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation Occupational Medicine CurrentSince Apr 2, 2022 Accepting new patients
Union County Physician Corporation Current Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Feb 3, 2015 Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

500 London Ave
#G
Marysville, OH 43040

480 S Jefferson Ave
Ste 300
Plain City, OH 43064
Phone (937) 578-2417

1958 E US Highway 36
Ste D
Urbana, OH 43078
Phone (937) 578-2626

Interoperability endpoints

  • Direct secure messaging: phoy889193@direct.osumc.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1700825825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-644-6115",
            "fax_number": "937-578-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOY",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "34003316",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34003316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529262",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000315464",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.