Provider Demographics
NPI:1346243391
Name:HOOVER, JAMES BURTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BURTON
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:998 S DORSET RD
Mailing Address - Street 2:STE 104
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-4748
Mailing Address - Country:US
Mailing Address - Phone:937-332-8843
Mailing Address - Fax:937-332-8982
Practice Address - Street 1:998 S DORSET RD
Practice Address - Street 2:STE 104
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-4748
Practice Address - Country:US
Practice Address - Phone:937-332-8843
Practice Address - Fax:937-332-8982
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2016-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35048004208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0523811Medicaid
OH0523811Medicaid
OHA15476Medicare UPIN