Healthcare Provider Details

I. General information

NPI: 1356489728
Provider Name (Legal Business Name): JOSEPH E HOAGBIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SUMMIT ST
MARSHALLTOWN IA
50158-5484
US

IV. Provider business mailing address

650 E ELM ST APT 110
DES MOINES IA
50309-5004
US

V. Phone/Fax

Practice location:
  • Phone: 641-753-1501
  • Fax:
Mailing address:
  • Phone: 402-650-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20265
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: