Provider Demographics
NPI:1497947675
Name:HOYT, CREIG SIMMONS (MD)
Entity Type:Individual
Prefix:DR
First Name:CREIG
Middle Name:SIMMONS
Last Name:HOYT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 KORET WAY, K339
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0730
Mailing Address - Country:US
Mailing Address - Phone:415-476-1922
Mailing Address - Fax:415-476-0336
Practice Address - Street 1:400 PARNASSUS AVENUE, 7TH FLOOR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0344
Practice Address - Country:US
Practice Address - Phone:415-353-2560
Practice Address - Fax:415-353-2468
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18325207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40321Medicare UPIN