Provider Demographics
NPI:1356319933
Name:HOOVER, HUNTER A (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:A
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:704-295-3468
Practice Address - Street 1:6035 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3256
Practice Address - Country:US
Practice Address - Phone:704-295-3000
Practice Address - Fax:704-295-3468
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC93-00156207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC000000292687OtherUNISON HEALTH PLAN OF SC
NC44398OtherBCBS
SCN00156Medicaid
NC12024OtherPARTNERS
NC4347470OtherAETNA
SC20076928OtherSELECT HEALTH OF SC
NC276558OtherMAMSI
SC772307OtherWELLCARE
SC01146038OtherAMERIGROUP OF SC
NC1040930OtherUNITED HEALTHCARE
NC33493OtherWELLPATH
NC141031OtherCOVENTRY HEALTHCARE
NC7944398Medicaid
NC53826OtherMEDCOST
NC44398OtherBCBS
NC141031OtherCOVENTRY HEALTHCARE
2193337AMedicare ID - Type Unspecified