Provider Demographics
NPI:1871518456
Name:HECHTMAN, JODY MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:MARIE
Last Name:HECHTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JODY
Other - Middle Name:MARIE
Other - Last Name:TOCHTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-0421
Mailing Address - Country:US
Mailing Address - Phone:866-747-2455
Mailing Address - Fax:509-227-7070
Practice Address - Street 1:105 W 8TH AVE STE 6050
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2312
Practice Address - Country:US
Practice Address - Phone:509-455-8866
Practice Address - Fax:509-227-7070
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0291207V00000X
WAMD00047471207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807692100Medicaid
WA8477093Medicaid
TX8P6747OtherBCBS
TX175100001Medicaid
I34026Medicare UPIN
TX8P6747OtherBCBS