1043231798 NPI number — DR. STEVEN ALAN HOKENESS MD

Table of content: JESSICA TANNER (NPI 1417651217)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043231798 NPI number — DR. STEVEN ALAN HOKENESS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOKENESS
Provider First Name:
STEVEN
Provider Middle Name:
ALAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1043231798
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36 BRIDGE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASCOAG
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02859-3131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-568-7661
Provider Business Mailing Address Fax Number:
401-568-7949

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 BRIDGE WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASCOAG
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02859-3131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-568-7661
Provider Business Practice Location Address Fax Number:
401-568-7949
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  06001 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 001045 . This is a "BCHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: SH46573 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: AA34893 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 411814 . This is a "MEDICARE GROUP NUMBER" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 27083 . This is a "BCBS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 27987 . This is a "NEIGHBORHOOD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0406949 . This is a "UNITED HEALTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com