Active NPI
Timothy Albert Hoover, PA-C
- Medical Physician Assistant
- Joint Base Lewis McChord, WA
National Provider Identifier
1336256429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-0001 - Phone
- (253) 967-9590
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040a Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Mailing address
TF 2-9 in BN Unit 15101 Apo Ap 96224
Apo Ap, SOUTH KOREA 96224-5101
KR
Phone 01022033331
Other practice location 1
TF 2-9 IN BN Unit 15101 apo ap 96224
apo ap, south korea 96224-5101
KR
Phone 01022033331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1336256429",
"addresses": [
{
"country_code": "KR",
"country_name": "Korea, Republic of",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "TF 2-9 IN BN UNIT 15101 APO AP 96224",
"city": "APO AP",
"state": "SOUTH KOREA",
"postal_code": "962245101",
"telephone_number": "01022033331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040A JACKSON AVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-967-9590"
}
],
"practiceLocations": [
{
"address_1": "TF 2-9 IN BN Unit 15101 apo ap 96224",
"address_purpose": "LOCATION",
"city": "apo ap",
"state": "south korea",
"postal_code": "962245101",
"country_code": "KR",
"telephone_number": "01022033331",
"country_name": "Korea, Republic of",
"address_type": "FGN"
}
],
"basic": {
"last_name": "HOOVER",
"first_name": "TIMOTHY",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.