Herbert C. Hoover Jr., M.D

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD055401L Issued in PA

Practice address

804 Grandview Dr
Wellspan Surgical Specialists
Ephrata, PA 17522

Phone

(717) 466-2500

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173
  NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597
  NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  NPD
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Elcho, WI
  • NPI 1831251040
  NPD
• Cancer Care Pavilion Inc

  • Surgical Oncology Physician
  • Savannah, GA
  • NPI 1023103165
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1386683613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 GRANDVIEW DR STE 2",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221681",
            "telephone_number": "717-466-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 GRANDVIEW DR",
            "address_2": "WELLSPAN SURGICAL SPECIALISTS",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-466-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S Washington St",
            "address_2": "WellSpan Surgical Specialists",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "17325",
            "country_code": "US",
            "telephone_number": "717-339-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 Norman Dr",
            "address_2": "WellSpan Surgical Specialists",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17042",
            "country_code": "US",
            "telephone_number": "717-270-7908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 PROGRESS BOULEVARD",
            "address_2": "WellSpan Surgical Specialists",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "17257",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Stults Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "IN",
            "postal_code": "467501291",
            "country_code": "US",
            "telephone_number": "260-454-0425",
            "fax_number": "260-355-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 East Main Street",
            "address_2": "WellSpan Surgical Specialists",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "17268",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 ANTRIM COMMONS DR",
            "address_2": "WellSpan Surgical Specialists",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "17225",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 North Seventh Street",
            "address_2": "WellSpan Surgical Specialists",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-217-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "HERBERT",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01064871A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD055401L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015088420006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Hill, CRNA
• Kristin Kaye Hill, PAC
• Michael Howard Hodgson, A.S.
• Holistic Wellcare Counseling LLC
• Amy Homan, PA-C
• Sydney Hoover
• Regina Horning, PHARM D
• Stephanie Hsu, DDS
• Emily N Hudock, BA
• Patricia Lynn Hudson, MD

• Surgery Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.