Active NPI
Cody M Hoover, DPM
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
National Provider Identifier
1952550295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60211118
- Practice address
- 16515 Meridian E Ste 105B
Puyallup, WA 98375-6253 - Phone
- (253) 987-9111
- Fax
- (844) 827-2764
- NPI assigned
- Sep 11, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO60211118 | WA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO60211118 | WA | |
| Radiology Podiatrist | 213ER0200X | PO60211118 | WA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006067 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO60211118 | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090174 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16515 Meridian E
Suite 105B
Puyallup, WA 98375-6253
Phone (253) 987-9111
848 W Orchard Dr
Bellingham, WA 98225-1758
Phone (847) 504-5000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 503 |
| Removal or shaving of skin growth | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60211118 | WA | MD | Radiology Podiatrist |
| SC006067 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| CMH Group P.C. | Podiatrist | Current | Accepting new patients |
Locations
16515 Meridian E
Ste 105B
Puyallup, WA 98375
Phone (253) 973-6590
Interoperability endpoints
- cody.hoover.1@17705.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Podiatrist
- Oak Harbor, WA
- NPI 1720037138
-
- Podiatrist
- Puyallup, WA
- NPI 1669345112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1952550295",
"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": [],
"basic": {
"last_name": "HOOVER",
"first_name": "CODY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO60211118",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "WA",
"license": "PO60211118",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "WA",
"license": "PO60211118",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006067",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60211118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2090174",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.