Provider Demographics
NPI:1891816823
Name:SCOTT P. HOOPES, M.D., P.A.
Entity Type:Organization
Organization Name:SCOTT P. HOOPES, M.D., P.A.
Other - Org Name:SCOTT HOOPES & ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:PARTRIDGE
Authorized Official - Last Name:HOOPES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-898-8999
Mailing Address - Street 1:2273 E GALA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-7289
Mailing Address - Country:US
Mailing Address - Phone:208-898-8999
Mailing Address - Fax:208-898-8989
Practice Address - Street 1:2273 E GALA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-7289
Practice Address - Country:US
Practice Address - Phone:208-898-8999
Practice Address - Fax:208-898-8989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID86389OtherBLUE CROSS GROUP #
IDF50860Medicare UPIN
ID86389OtherBLUE CROSS GROUP #