Provider Demographics
NPI:1104820653
Name:HOY, JINWAH JOHN (DPM)
Entity type:Individual
Prefix:DR
First Name:JINWAH
Middle Name:JOHN
Last Name:HOY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:509 OLIVE WAY
Mailing Address - Street 2:STE 1125
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1724
Mailing Address - Country:US
Mailing Address - Phone:206-682-8741
Mailing Address - Fax:206-686-2184
Practice Address - Street 1:509 OLIVE WAY
Practice Address - Street 2:STE 1125
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1724
Practice Address - Country:US
Practice Address - Phone:206-682-8741
Practice Address - Fax:206-686-2184
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO00000729213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1119064Medicaid
WAP00213743OtherRAILROAD MEDICARE
WA1119064Medicaid
WAG8858655Medicare PIN