1326226341 NPI number — JAMES I HOYAL DPM PC

Table of content: (NPI 1326226341)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326226341 NPI number — JAMES I HOYAL DPM PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES I HOYAL DPM PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326226341
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1798 N STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OREM
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84057-2025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-224-6464
Provider Business Mailing Address Fax Number:
801-224-6583

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1798 N STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OREM
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84057-2025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-224-6464
Provider Business Practice Location Address Fax Number:
801-224-6583
Provider Enumeration Date:
01/31/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HOYAL
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
IRVIN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
801-224-6464

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  378898-0501 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 529412464001 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 480034854 . This is a "PALMETTO GBA RAILROAD MED" identifier . This identifiers is of the category "OTHER".
  • Identifier: UNITED HEALTHCARE . This is a "2700085" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 37889805001001 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 230044 . This is a "ALTIUS HEALTH PLANS" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 5388387 . This is a "CNN" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 8662412 . This is a "CIGNA" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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