Active NPI
Jeffery T Hoeck, MD
- Internal Medicine Physician
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0058289
- Practice address
- 4175 N Hanson CT
Bowie, MD 20716-3179 - Phone
- (410) 741-1519
- Fax
- (301) 464-9383
- NPI assigned
- Oct 21, 2005
- Last updated
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0058289 | MD | Primary |
Addresses
Primary practice location
4175 N Hanson CT
Bowie, MD 20716-3179
Mailing address
PO Box 8745
Belfast, ME 04915-8745
Phone (443) 481-6566
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400681000 | Medicaid | MD | |
| 61661501 | Other | MD | BCBS |
| 2917287 | Other | AETNA | |
| 56710002 | Other | DC | BCBS |
| 5540433 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0058289 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew S. Dobin, MD PA | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| East Tennessee Medical Group, PC | Internal Medicine | Past | Accepting new patients |
Locations
4175 N Hanson Ct
Bowie, MD 20716
Phone (301) 464-0798
4175 N Hanson Ct
Ste 104
Bowie, MD 20716
Phone (301) 464-9660
4175 N Hanson Ct
Ste 203A
Bowie, MD 20716
Phone (301) 464-9660
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1871583815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8745",
"city": "BELFAST",
"state": "ME",
"postal_code": "049158745",
"telephone_number": "443-481-6566",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 N HANSON CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163179",
"telephone_number": "410-741-1519",
"fax_number": "301-464-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOECK",
"first_name": "JEFFERY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0058289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400681000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "61661501",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2917287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56710002",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5540433",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.