Provider Demographics
NPI:1437139755
Name:HOY, DOUGLAS M (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:M
Last Name:HOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1265 W MAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:BELLEVUE
Mailing Address - State:OH
Mailing Address - Zip Code:44811-9015
Mailing Address - Country:US
Mailing Address - Phone:419-483-1991
Mailing Address - Fax:419-483-1566
Practice Address - Street 1:1265 W MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:BELLEVUE
Practice Address - State:OH
Practice Address - Zip Code:44811-9015
Practice Address - Country:US
Practice Address - Phone:419-483-1991
Practice Address - Fax:419-483-1566
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35063914207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0962712Medicaid
OHF76156Medicare UPIN
OH0757683Medicare ID - Type Unspecified