Individual provider Active NPI

Laura Ann Hoving, P.A.-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1497855324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002138 Issued in MI
Practice address
721 3 Mile Rd NW Ste 200
Grand Rapids, MI 49544-8224
Phone
(616) 647-3770
Fax
(616) 647-3776
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002138 MI Primary

Addresses

Primary practice location

721 3 Mile Rd NW Ste 200
Grand Rapids, MI 49544-8224

Mailing address

721 3 Mile Rd NW Ste 200
Grand Rapids, MI 49544-8224
Phone (616) 647-3770

Other identifiers 1

IdentifierTypeStateIssuer
5601002138OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001561 MI Order and Referring Only - Physician Assistant 7517278492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14507/brand/1/csg/1/fhir/r4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497855324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 3 MILE RD NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448224",
            "telephone_number": "616-647-3770",
            "fax_number": "616-647-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 3 MILE RD NW STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495448224",
            "telephone_number": "616-647-3770",
            "fax_number": "616-647-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVING",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5601002138",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.