NPIMap

Individual provider Active NPI

Geoffrey Wayne Hoover, MD

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1720039100
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21239 Issued in OK
Practice address
122 N Bryant Ave
Suite 1B
Edmond, OK 73034-6303
Phone
(405) 216-8960
Fax
(405) 216-8965
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21239 OK Primary

Addresses

Primary practice location

122 N Bryant Ave
Suite 1B
Edmond, OK 73034-6303

Mailing address

122 N Bryant Ave
Suite 1B
Edmond, OK 73034-6303
Phone (405) 216-8960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000444 OK Practitioner - Family Practice 2668440975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

2017 W I 35 Frontage Rd
Mercy Clinic
Edmond, OK 73013-8504
Phone (405) 757-3365

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Oklahoma City, OK, CCN 377048
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21239OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Geoffrey W Hoover MD PLLC PastSince Aug 1, 2006 Accepting new patients
Saints Medical Group, LLC Family Medicine Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Mercy Health Network Inc Family Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

122 N Bryant Ave
Ste 1
Edmond, OK 73034
Phone (405) 216-8960

122 N Bryant Ave
Ste B1
Edmond, OK 73034
Phone (405) 216-8960

2301 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 531-4600

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Interoperability endpoints

  • Direct secure messaging: geoffrey.hoover.1@17372.direct.athenahealth.com
  • Direct secure messaging: ghoover192516@directc.mercy.net

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1720039100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N BRYANT AVE",
            "address_2": "SUITE 1B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346303",
            "telephone_number": "405-216-8960",
            "fax_number": "405-216-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N BRYANT AVE",
            "address_2": "SUITE 1B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346303",
            "telephone_number": "405-216-8960",
            "fax_number": "405-216-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "GEOFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.