Provider Demographics
NPI:1407519507
Name:HOEPKER, JOSEPHINE (PA-C)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:HOEPKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 CONNECTICUT AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5832
Mailing Address - Country:US
Mailing Address - Phone:301-949-8100
Mailing Address - Fax:
Practice Address - Street 1:8401 CONNECTICUT AVENUE SUITE 800 CHEVY CHASE, MARYLAND
Practice Address - Street 2:SUITE 800
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-1434
Practice Address - Country:US
Practice Address - Phone:301-949-8100
Practice Address - Fax:301-962-7450
Is Sole Proprietor?:No
Enumeration Date:2021-10-16
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA200001671363AM0700X
MDC0008620363A00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant