# TODD L VANDEN HOEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578667853
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 0101046710 | VA | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 12/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 065K2 | BLUE CROSS BLUE SHIELD NC | NC |
| 01 | — | 082480 | BLUE CROSS BLUE SHIELD VA | NC |
| 01 | — | 17320 | OPTIMA | — |
| 01 | — | 251490 | MAMSI/MDIPA | — |
| 01 | — | 3900570 | OPTIMUM CHOICE | — |
| 05 | — | 6004547 | — | VA |
| 05 | — | 89065K2 | — | NC |
| 01 | — | 9300337797 | MEDICARE RAILROAD | — |