Provider Demographics
NPI:1992859581
Name:HOOVER, ALAN DALE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:DALE
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 LOCUST ST
Mailing Address - Street 2:SUITE 5105
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5114
Mailing Address - Country:US
Mailing Address - Phone:412-261-9332
Mailing Address - Fax:412-391-0345
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:SUITE 5105
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-261-9332
Practice Address - Fax:412-391-0345
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD015360E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1473436OtherHEALTH AMERICA
PA110131412OtherPALMETTO GBA RAILROAD MED
PA000046544OtherHIGHMARK BLUE CROSS BLUE
PA0000728153004Medicaid
PA102898OtherUPMC HEALTH PLAN
PA000000095211OtherTHREE RIVERS HEALTH PLAN
PA0004026032OtherAETNA
PA25-1473436OtherUNITED HEALTH CARE
PA1011040OtherGATEWAY HEALTH PLAN
PA25-1473436OtherHEALTH AMERICA
PA046544D3YMedicare ID - Type Unspecified