Stephanie A Hoover, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA050615L Issued in PA

Practice address

202 Cove Forge Road
Cove Forge Behavioral Health
Williamsburg, PA 16693

Phone

(814) 832-2131

Fax

(814) 832-2133

NPI assigned

Jun 3, 2007

Reactivated

Mar 9, 2018

Last updated

Mar 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Stephanie A Latterner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1871795765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 COVE FORGE ROAD",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "16693",
            "telephone_number": "877-297-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 COVE FORGE ROAD",
            "address_2": "COVE FORGE BEHAVIORAL HEALTH",
            "city": "WILLIAMSBURG",
            "state": "PA",
            "postal_code": "16693",
            "telephone_number": "814-832-2131",
            "fax_number": "814-832-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2018-03-09",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050615L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LATTERNER",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical Physician Assistant in Williamsburg, PA
• Providers in Williamsburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.