Individual provider Active NPI

Timothy Albert Hoover, PA-C

  • Medical Physician Assistant
  • Joint Base Lewis McChord, WA
National Provider Identifier
1336256429
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.