Provider Demographics
NPI:1245219435
Name:HOYER, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:HOYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 N FOOTE AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-4501
Mailing Address - Country:US
Mailing Address - Phone:719-365-6568
Mailing Address - Fax:719-365-6317
Practice Address - Street 1:525 N FOOTE AVE
Practice Address - Street 2:STE 202
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-4501
Practice Address - Country:US
Practice Address - Phone:719-365-6568
Practice Address - Fax:719-365-6317
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0046535207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04809041Medicaid
COCOA109674Medicare PIN
CO04809041Medicaid
COCO301316Medicare PIN
H93312Medicare UPIN
COCO301316Medicare PIN
MNP00054245Medicare ID - Type UnspecifiedRAILROAD