Provider Demographics
NPI:1386987741
Name:HOOVER, JAMES (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HOOVER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:WILLIAM CHASE
Other - Last Name:HOOVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3958 LEAP RD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1179
Mailing Address - Country:US
Mailing Address - Phone:614-876-7330
Mailing Address - Fax:614-876-6974
Practice Address - Street 1:3958 LEAP RD STE 101
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3107
Practice Address - Country:US
Practice Address - Phone:614-876-7300
Practice Address - Fax:614-876-6974
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.125691207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0166629Medicaid
OH0166629Medicaid