Provider Demographics
NPI:1326093550
Name:HOISINGTON, DAVID H (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:HOISINGTON
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 1:1540 LAKE LANSING RD
Mailing Address - Street 2:STE 202
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3756
Mailing Address - Country:US
Mailing Address - Phone:517-913-3820
Mailing Address - Fax:517-913-3821
Practice Address - Street 1:1540 LAKE LANSING RD
Practice Address - Street 2:STE 202
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3756
Practice Address - Country:US
Practice Address - Phone:517-913-3820
Practice Address - Fax:517-913-3821
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301033935207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080167666OtherRAILROAD MEDICARE
MI200000002118OtherPHP FAMILYCARE
MI4056061OtherAETNA
MI1001910OtherMCLAREN HEALTH ADVANTAGE
MI1001910OtherMCLAREN HEALTH PLAN-COMMERCIAL
MI1001910OtherMCLAREN HEALTH PLAN-MEDICAID
MI4871505Medicaid
MI0803312641OtherBLUE CROSS BLUE SHIELD/BLUE CARE NETWORK
MI4500150Medicaid
MI0M21440011OtherMEDICARE PLUS BLUE
MI200000002118OtherPHP
MI0M21440011OtherMEDICARE PLUS BLUE
MI0803312641OtherBLUE CROSS BLUE SHIELD/BLUE CARE NETWORK