Active NPI
Michael B Hoover, M.D.
- Surgery Physician
- Evansville, IN
National Provider Identifier
1881693786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01028408A
- Practice address
- 520 Mary St
Suite 520
Evansville, IN 47710-1682 - Phone
- (812) 424-8231
- Fax
- (812) 435-8794
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01028408A | IN | Primary |
Addresses
Primary practice location
520 Mary St
Suite 520
Evansville, IN 47710-1682
Mailing address
520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120573043-02 | Medicaid | IL | |
| 020021453 | Other | IN | RAIL ROAD MEDICARE |
| 100242590A | Medicaid | IN | |
| 000000082345 | Other | IN | ANTHEM BLUE CROSS/SHIELD |
| 64753486 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1881693786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MARY ST",
"address_2": "SUITE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MARY ST",
"address_2": "SUITE 520",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101682",
"telephone_number": "812-424-8231",
"fax_number": "812-435-8794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01028408A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120573043-02",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "020021453",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100242590A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/SHIELD",
"identifier": "000000082345",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64753486",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.