James Paul Hoover Jr., MS, ATC, LAT

Individual provider Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · California, PA

NPI 1750805693 · NPPES record last updated Oct 9, 2019

Key facts

NPI
1750805693
Entity type
Individual (NPI type 1)
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
License
RT007004 (PA)
Practice address
250 University Ave
California, PA 15419-1341
Phone
(440) 541-9888
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A0000788MDMDSports Medicine (Physical Medicine & Rehabilitation) Physician
RT007004PAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2081S0010X A0000788 MD
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X RT007004 PA Yes

Addresses

Primary practice location

250 University Ave
California, PA 15419-1341

Mailing address

8003 Stonebrook Loop
Washington, PA 15301-5047
Phone (440) 541-9888

Other providers in California, PA

All providers in California, PA · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.