Provider Demographics
NPI:1952392664
Name:HOOVER, DON LEO (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:LEO
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DON
Other - Middle Name:LEO
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:3276 STONESTHROW DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-8710
Mailing Address - Country:US
Mailing Address - Phone:828-294-3116
Mailing Address - Fax:
Practice Address - Street 1:1940 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-5497
Practice Address - Country:US
Practice Address - Phone:828-294-1116
Practice Address - Fax:828-294-6663
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8943654Medicaid
NC8943654Medicaid