MEDICARE: CHARLES R HOYT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35032172	OH

General Provider Information

NPI Number	:	1154485134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES R HOYT MD

Provider Business Mailing Address
First Line	:	10140 N ELYRIA RD
Second Line	:
City	:	WEST SALEM
State	:	OH
Zip	:	44287
Country	:	US
Telephone Number	:	216-870-3061
Fax Number	:	419-846-3505

Provider Business Practice Location Address
First Line	:	10140 N ELYRIA RD
Second Line	:
City	:	WEST SALEM
State	:	OH
Zip	:	44287
Country	:	US
Telephone Number	:	216-870-3061
Fax Number	:	419-846-3505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/08/2007

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