Organization Active NPI

Shelley K. Hoover, M.D., PC

Doing business as Affiliated Dermatologists of Virginia

  • Dermatology Physician
  • Richmond, VA
National Provider Identifier
1366631038
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101-053613 Issued in VA
Legal business name
SHELLEY K. HOOVER, M.D., PC
Doing business as
Affiliated Dermatologists of Virginia
Practice address
8600 Staples Mill Rd
Richmond, VA 23228-2719
Phone
(804) 264-4262
Fax
(804) 264-4260
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Shelley K Hoover, M.D.
Title
President
Phone
(804) 264-4545

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 0101-053613 VA Primary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 0101-334798 VA
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 0101-239915 VA

Addresses

Primary practice location

8600 Staples Mill Rd
Richmond, VA 23228-2719

Mailing address

8600 Staples Mill Rd
Richmond, VA 23228-2719
Phone (804) 264-4262

Other names 1

  • Affiliated Dermatologists of Virginia Doing business as

National Provider Directory

National Provider Directory

Locations

7813 Shrader Rd
Richmond, VA 23294
Phone (804) 264-4262

8600 Staples Mill Rd
Richmond, VA 23228
Phone (804) 264-4262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1366631038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282719",
            "telephone_number": "804-264-4262",
            "fax_number": "804-264-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282719",
            "telephone_number": "804-264-4262",
            "fax_number": "804-264-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY K. HOOVER, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-264-4545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101-053613",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101-334798",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101-239915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Dermatologists of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.