Michael D Hooley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

051282 Issued in CO

Practice address

1983 Sloan PL
Suite 1
Saint Paul, MN 55117-2087

Phone

(651) 326-5700

Fax

(651) 326-5715

NPI assigned

Apr 10, 2006

Last updated

Feb 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1114980232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 SLOAN PL",
            "address_2": "SUITE 1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172087",
            "telephone_number": "651-326-5700",
            "fax_number": "651-326-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 SLOAN PL",
            "address_2": "SUITE 1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172087",
            "telephone_number": "651-326-5700",
            "fax_number": "651-326-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOLEY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "29354",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "051282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "025510",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17603820",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Woods Hoogerhyde, PHD, LP
• Lisa N Hoogheem, MA, LADC
• Jennifer Marie Hook Varella Barca, PA-C
• Julie Kay Hooker, MS, LADC
• Amanda Hookom, RDN, LD
• Courtney Hoolihan
• Crystal Hoon
• Lareesa Hooper
• John F Hoops, P.T.
• Joseph R Hoops, LICSW

• Family Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.