Provider Demographics
NPI:1366639478
Name:J. JOHN HOY, DPM, PS
Entity Type:Organization
Organization Name:J. JOHN HOY, DPM, PS
Other - Org Name:DOWNTOWN FOOT AND ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JINWAH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:206-682-8741
Mailing Address - Street 1:509 OLIVE WAY
Mailing Address - Street 2:1125
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1720
Mailing Address - Country:US
Mailing Address - Phone:206-682-8741
Mailing Address - Fax:206-686-2184
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:1125
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1720
Practice Address - Country:US
Practice Address - Phone:206-682-8741
Practice Address - Fax:206-686-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000729213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1119064Medicaid
WADN1960OtherRAILROAD MEDICARE
WA1119064Medicaid
WAG8858654Medicare PIN
WAU92799Medicare UPIN