1891816823 NPI number — SCOTT P. HOOPES, M.D., P.A.

Table of content: (NPI 1891816823)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891816823 NPI number — SCOTT P. HOOPES, M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCOTT P. HOOPES, M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SCOTT HOOPES & ASSOCIATES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891816823
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2273 E GALA ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
MERIDIAN
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83642-7289
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-898-8999
Provider Business Mailing Address Fax Number:
208-898-8989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2273 E GALA ST
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
MERIDIAN
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83642-7289
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-898-8999
Provider Business Practice Location Address Fax Number:
208-898-8989
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HOOPES
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
PARTRIDGE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
208-898-8999

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 86389 . This is a "BLUE CROSS GROUP #" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com