Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE ALLEN HOERDEMAN, DO
DeactivatedBLAKE ALLEN HOERDEMAN, DO is a General Surgery healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1992362420 is deactivated in the NPPES registry. Verify at CMS.
General Surgery · FAYETTEVILLE, NC
This NPI has been deactivated.
The record was deactivated on April 10, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1992362420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2019 (0.8879781420765 yrs)
- Last Updated
- Sep 8, 2025
- Deactivated
- Apr 10, 2020
- License
-
2025-01816 (NC)
Practice Information
- Address
-
1638 OWEN DRFAYETTEVILLE, NC, 283043424Browse NC providers · Browse ZIP 28304
- Phone
- 9106155095
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Student (Health Education/Training)
Other General Surgery Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL STEVEN BRYANT | MD | 1144226309 |
| MR. PAUL MAURICE CARTER | M.D. | 1881691988 |
| JAMES ANTHONY CLASSEN | MD | 1881689453 |
| LEO WARREN DAVIDSON | MD | 1235125618 |
| JOEL I HOROWITZ | MD | 1760479448 |
| JAMES MCNEIL THOMAS | MD | 1205825155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.