Provider Demographics
NPI:1609098219
Name:EVANS-HOEKER, EMILY ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANN
Last Name:EVANS-HOEKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:102 HIGHLAND AVE SE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2256
Mailing Address - Country:US
Mailing Address - Phone:540-985-9715
Mailing Address - Fax:540-985-8487
Practice Address - Street 1:102 HIGHLAND AVE SE
Practice Address - Street 2:SUITE 304
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-2256
Practice Address - Country:US
Practice Address - Phone:540-985-9715
Practice Address - Fax:540-985-8487
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01333207VE0102X
VA0101256219207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVVD778AOtherMEDICARE PTAN
AL29364Medicaid