Provider Demographics
NPI:1467502393
Name:HOYT, THOMAS E (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:HOYT
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 1:720 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6133
Mailing Address - Country:US
Mailing Address - Phone:559-739-1300
Mailing Address - Fax:559-739-0742
Practice Address - Street 1:720 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6133
Practice Address - Country:US
Practice Address - Phone:559-739-1300
Practice Address - Fax:559-739-0742
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG036999174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301039541OtherMICHIGAN STATE LICENSE
CAG036999OtherSTATE LICENSE NUMBER
33-0047928OtherTAX ID
MI4301039541OtherMICHIGAN STATE LICENSE
CAA46904Medicare UPIN