Individual provider Active NPI

Stanley Thomas Hoover, MD

  • Addiction Medicine (Anesthesiology) Physician
  • Lafayette, LA
National Provider Identifier
1366423691
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
07862R Issued in LA
Practice address
PO Box 52233
Lafayette, LA 70505-2233
Phone
(713) 870-9036
Fax
(888) 963-2009
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X L07862R LA
Addiction Medicine (Anesthesiology) Physician 207LA0401X 07862R LA Primary

Addresses

Primary practice location

PO Box 52233
Lafayette, LA 70505-2233

Mailing address

PO Box 52233
Lafayette, LA 70505-2233
Phone (713) 870-9036

Other identifiers 1

IdentifierTypeStateIssuer
1392057MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20090224000736 LA Practitioner - General PracticePractitioner - Psychiatry 3375608441 Reassigns benefits to 1 organization
Practice locations: Lafayette, LA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07862RLAMDAddiction Medicine (Anesthesiology) Physician
L07862RLAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Health and Hospitals CurrentSince Jan 1, 2007 Accepting new patients

Locations

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

400 Saint Julien Ave
Lafayette, LA 70506
Phone (337) 262-4109

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1366423691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52233",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052233",
            "telephone_number": "713-870-9036",
            "fax_number": "888-963-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 52233",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052233",
            "telephone_number": "713-870-9036",
            "fax_number": "888-963-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "STANLEY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "L07862R",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "LA",
            "license": "07862R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1392057",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.