Individual provider Active NPI

Ezra Hoover, DO

  • Dermatology Physician
  • Athens, OH
National Provider Identifier
1922590264
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.016061 Issued in OH
Practice address
2111 E State St
Athens, OH 45701-2138
Phone
(740) 566-4621
NPI assigned
Jun 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34.016061 OH Primary

Addresses

Primary practice location

2111 E State St
Athens, OH 45701-2138

Mailing address

1151 Chadbyrne Dr
Columbus, OH 43235-1790
Phone (347) 259-8477

Other practice location 1

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916001852 OH Practitioner - Dermatology 4880079524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Touro Un Col of Osteopathic Medicine, New York, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

204 Stone Rd
Belpre, OH 45714-5003
Phone (740) 423-3080

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-2934

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as group
Quality
90.79
Promoting interoperability
100
Improvement activities
40
Cost
89.93

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions112
Removal or shaving of skin growth1-10
Skin biopsy31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 20, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 20, 2024 Accepting new patients
Advanced Dermatology of Ohio, Inc Dermatology CurrentSince Oct 15, 2024 Accepting new patients
Oakview Dermatology Dermatology CurrentSince Sep 18, 2024 Accepting new patients
Mason Dermatology Center Inc Dermatology PastSince Oct 15, 2024 Accepting new patients

Locations

2111 E State St
Athens, OH 45701
Phone (740) 300-1746

204 Stone Rd
Belpre, OH 45714
Phone (614) 423-5535

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5175 Morse Rd
Ste 100
Gahanna, OH 43230
Phone (614) 454-4808

2405 N Columbus St
Ste 100
Lancaster, OH 43130
Phone (614) 908-1339

4834 Socialville Foster Rd
Ste 20
Mason, OH 45040
Phone (513) 459-1988

Interoperability endpoints

  • Direct secure messaging: ehoover@oakviewderm.emadirect.md

Organizations & group practices 5

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 2

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": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1922590264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 CHADBYRNE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351790",
            "telephone_number": "347-259-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-566-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143908",
            "country_code": "US",
            "telephone_number": "614-566-5456",
            "fax_number": "614-566-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.016061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.