Provider Demographics
NPI:1902817703
Name:HOINESS, MARTY H (MD)
Entity Type:Individual
Prefix:
First Name:MARTY
Middle Name:H
Last Name:HOINESS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 OLIVE WAY # MSM4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1873
Mailing Address - Country:US
Mailing Address - Phone:206-515-5811
Mailing Address - Fax:
Practice Address - Street 1:1100 OLIVE WAY STE 531
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1873
Practice Address - Country:US
Practice Address - Phone:206-223-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000352882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8250276Medicaid
WAUS7652329OtherAETNA SPECIALIST PIN
WA069741OtherGROUP HEALTH NUMBER
WAHO5328OtherINDIVIDUAL BLUE SHIELD
WA0170134OtherLABOR & INDUSTRIES
WA8885449OtherMEDICARE - KITSAP CO
G95967Medicare UPIN
WA8907135Medicare PIN