Active NPI
Richard G Hoover, MD
- Immunopathology Physician
- Saint Louis, MO
National Provider Identifier
1437172616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Immunopathology Physician
- License
- R9589
- Practice address
- 1402 S Grand
St Louis, MO 63110 - Phone
- (314) 577-8693
- Fax
- (314) 268-5478
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Immunopathology Physician | 207ZI0100X | R9589 | MO | Primary |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | L9589 | MO |
Addresses
Primary practice location
1402 S Grand
St Louis, MO 63110
Mailing address
3691 Rutger Ave
Provider Enrollment
St Louis, MO 63110
Phone (314) 977-4440
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9589 | MO | MD | Immunopathology Physician |
| L9589 | MO | MD | Molecular Genetic Pathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis University | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1437172616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3691 RUTGER AVE",
"address_2": "PROVIDER ENROLLMENT",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-977-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "314-577-8693",
"fax_number": "314-268-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "RICHARD",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "MO",
"license": "R9589",
"primary": true
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "MO",
"license": "L9589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Matthew William Hooper, MD
- April Michelle Hooten, RN
- Tyler Hooton, MD
- Maria Camila Hoover-Espinosa, PA
- Allison Morgan Hoover
- Hope and Harmony Services LLC
- Hope and Harmony Services, LLC.
- Hope at the End Home Healthcare Company
- Hope Clinical Care (Therapy Relief at Hope)
- Hope Crossing Christian Counseling, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.