Simon Hoogendyk in Portage - Internal Medicine
Simon Hoogendyk - NPI 1821099219
Simon Hoogendyk is a Internal Medicine in Portage, Michigan. Simon Hoogendyk practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Simon Hoogendyk is 1821099219. The last update date is 2008-12-03.
Simon Hoogendyk's current location address is 401 W Kilgore Rd, Portage, Michigan. You can contact this provider via phone number 2693429550 and fax number 2693428313. The mailing address for Simon Hoogendyk is 401 W Kilgore Rd, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Simon Hoogendyk |
|---|---|
| Address | 401 W Kilgore Rd, Portage, Michigan |
| Phone Number | 2693429550 |
| Fax Number | 2693428313 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821099219 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2008-12-03 |
Provider Mailing Address Detail
| Address | 401 W Kilgore Rd |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490021100 |
| Phone Number | 2693429550 |
| Fax Number | 2693428313 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301029480 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112058467 | MI | RAILROAD MEDICARE PROVIDER TRA | |
| 1023841 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Simon Hoogendyk by the Centers for Medicare & Medicaid Services (CMS)?
The Simon Hoogendyk has been assigned the NPI (National Provider Identifier) 1821099219. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Simon Hoogendyk located?
The Simon Hoogendyk is located at 401 W Kilgore Rd, Portage, MI 490021100.
What is Simon Hoogendyk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Simon Hoogendyk is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821099219 to Simon Hoogendyk?
The Centers for Medicare & Medicaid Services assigned the 1821099219 to Simon Hoogendyk on 2005-08-09.
As of what date were the details pertaining to Simon Hoogendyk last refreshed?
The information related to the Simon Hoogendyk, including its address, specialty, and other relevant details, was last updated on 2008-12-03.