Provider Demographics
NPI:1326226341
Name:JAMES I HOYAL DPM PC
Entity Type:Organization
Organization Name:JAMES I HOYAL DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:IRVIN
Authorized Official - Last Name:HOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:801-224-6464
Mailing Address - Street 1:1798 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2025
Mailing Address - Country:US
Mailing Address - Phone:801-224-6464
Mailing Address - Fax:801-224-6583
Practice Address - Street 1:1798 N STATE ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-2025
Practice Address - Country:US
Practice Address - Phone:801-224-6464
Practice Address - Fax:801-224-6583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT378898-0501213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT529412464001Medicaid
480034854OtherPALMETTO GBA RAILROAD MED
UTUNITED HEALTHCAREOther2700085
UT37889805001001OtherBLUE CROSS BLUE SHIELD
UT230044OtherALTIUS HEALTH PLANS
UT5388387OtherCNN
UT8662412OtherCIGNA
480034854OtherPALMETTO GBA RAILROAD MED
UT5388387OtherCNN
UT37889805001001OtherBLUE CROSS BLUE SHIELD