Provider Demographics
NPI:1588610745
Name:HOYT, TERRY S (MD)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:S
Last Name:HOYT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2318
Mailing Address - Country:US
Mailing Address - Phone:573-874-6859
Mailing Address - Fax:
Practice Address - Street 1:1237 SUNSET DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2318
Practice Address - Country:US
Practice Address - Phone:573-874-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR88322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1603007OtherUNITED HEALTHCARE
MO300131640OtherRR MEDICARE
KS2086348801OtherKANSAS MEDICAID
MO127217OtherBLUE SHIELD/BLUE CHOICE
MO126620OtherHEALTHLINK
MO203075908Medicaid
KS2086348801OtherKANSAS MEDICAID
MO300131640OtherRR MEDICARE