NPIMap

Organization Active NPI

Andrew W Hoover MD PA

  • Family Medicine Physician
  • Rhome, TX
National Provider Identifier
1205868031
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4214 Issued in TX
Legal business name
ANDREW W HOOVER MD PA
Practice address
600 S Main St
Ste 100
Rhome, TX 76078
Phone
(817) 636-2018
Fax
(817) 636-2022
NPI assigned
Jul 6, 2006
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Andrew W Hoover, MDNPI 1902837727
Title
President
Phone
(817) 636-2018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J4214 TX Primary

Addresses

Primary practice location

600 S Main St
Ste 100
Rhome, TX 76078

Mailing address

600 S Main Street
#100
Rhome, TX 76078
Phone (817) 636-2018

Other identifiers 2

IdentifierTypeStateIssuer
80166950OtherRR MCARE
0004HWOtherTXBCBS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0906908Andrew W Hoover MD600 South Main Suite 100, Rhome, TX 76078Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1205868031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN STREET",
            "address_2": "#100",
            "city": "RHOME",
            "state": "TX",
            "postal_code": "76078",
            "telephone_number": "817-636-2018",
            "fax_number": "817-636-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "address_2": "STE 100",
            "city": "RHOME",
            "state": "TX",
            "postal_code": "76078",
            "telephone_number": "817-636-2018",
            "fax_number": "817-636-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W HOOVER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-636-2018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "80166950",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004HW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhome, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.