Individual provider Active NPI

Shelley Kae Hoover, M.D.

  • Dermatology Physician
  • Henrico, VA
National Provider Identifier
1033188586
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101-053613 Issued in VA
Practice address
7813 Shrader Rd
Henrico, VA 23294-4210
Phone
(804) 264-4262
Fax
(804) 264-4260
NPI assigned
Mar 16, 2006
Last updated
Apr 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101-053613 VA Primary

Addresses

Primary practice location

7813 Shrader Rd
Henrico, VA 23294-4210

Mailing address

7813 Shrader Rd
Henrico, VA 23294-4210
Phone (804) 264-4262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000073 VA Practitioner - Dermatology 0042392094 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-053613VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adov Dermatology CurrentSince Sep 1, 2021 Accepting new patients

Locations

7813 Shrader Rd
Richmond, VA 23294
Phone (804) 264-4262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1033188586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944210",
            "telephone_number": "804-264-4262",
            "fax_number": "804-264-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 SHRADER RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944210",
            "telephone_number": "804-264-4262",
            "fax_number": "804-264-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "SHELLEY",
        "middle_name": "KAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101-053613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.