Kenneth a. Hoose, Jr., M.D., P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10962 Issued in GA

Legal business name

KENNETH A. HOOSE, JR., M.D., P.C.

Practice address

2675 N Decatur Rd
Suite 607
Decatur, GA 30033-6131

Phone

(404) 501-7640

Fax

(404) 501-7601

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Arthur Hoose Jr., M.D.

Title

President

Phone

(404) 501-7640

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1396921417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 607",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-501-7640",
            "fax_number": "404-501-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 607",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-501-7640",
            "fax_number": "404-501-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. HOOSE, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "HOOSE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-501-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "10962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "011003745",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "048575",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000098876A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Kennedy
• Leiona Kennedy
• Margaret Ann Kennedy, FNP-C
• Ryan Wright Kennedy, DMD
• Veda N Kennedy
• Christopher Joseph Kenny, PHARMD
• Amelia Kephart, LPC
• Kolubah Kerkula
• Jessica Noel Kettell, PMHNP-BC
• Kevin F Magid DDS PC

• Cardiovascular Disease Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Cardiovascular Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.