Organization Active NPI

Cmhpod PLLC

  • Foot & Ankle Surgery Podiatrist
  • Puyallup, WA
National Provider Identifier
1801312442
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P060211118 Issued in WA
Legal business name
CMHPOD PLLC
Practice address
16515 Meridian E Ste 105B
Puyallup, WA 98375-6253
Phone
(253) 987-9111
Fax
(844) 827-2764
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Dr. Cody Mark Hoover, DPMNPI 1952550295
Title
Owner
Phone
(253) 987-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X P060211118 WA Primary

Addresses

Primary practice location

16515 Meridian E Ste 105B
Puyallup, WA 98375-6253

Mailing address

16515 Meridian E Ste 105B
Puyallup, WA 98375-6253
Phone (253) 987-9111

Other practice location 1

16515 Meridian E Ste 105B
Puyallup, WA 98375-6253
Phone (253) 987-9111

Other names 1

  • HOOVER PODIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171107002685 WA Part B Supplier - Clinic/Group Practice 6406112481 Receives reassigned benefits from 1 practitioner
Practice locations: Puyallup, WA
O20180725000637 WA DME Supplier - Physician - General Practice 6406112481 Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Locations

16515 Meridian E
Ste 105B
Puyallup, WA 98375
Phone (253) 973-6590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1801312442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 105B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756253",
            "telephone_number": "253-987-9111",
            "fax_number": "844-827-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 105B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756253",
            "telephone_number": "253-987-9111",
            "fax_number": "844-827-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16515 Meridian E Ste 105B",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983756253",
            "country_code": "US",
            "telephone_number": "253-987-9111",
            "fax_number": "844-827-2764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CMHPOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-987-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "P060211118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOOVER PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.