Provider Demographics
NPI:1306872593
Name:HOING, AMY N (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:N
Last Name:HOING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34036
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1036
Mailing Address - Country:US
Mailing Address - Phone:425-899-3292
Mailing Address - Fax:425-899-3269
Practice Address - Street 1:1909 214TH ST SE
Practice Address - Street 2:SUITE 110
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-4412
Practice Address - Country:US
Practice Address - Phone:425-488-4988
Practice Address - Fax:425-488-4993
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS29107207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8486946Medicaid
KS206328OtherHPK
KS12393806OtherMULTIPLAN
KS3017OtherPHS
WA2201HOOtherBLUE SHIELD
WA222350OtherLABOR & INDUSTRIES
KS100420080AMedicaid
KS102113OtherBCBS
KS195716OtherCOVENTRY
KS100420080AMedicaid
H45928Medicare UPIN
KS12393806OtherMULTIPLAN
WAG8867132Medicare PIN