Provider Demographics
NPI:1699717074
Name:HOOPES, CHARLES W (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:W
Last Name:HOOPES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:SUITE A301
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:415-298-2181
Mailing Address - Fax:859-257-3208
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:SUITE A301
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:415-298-2181
Practice Address - Fax:859-257-3208
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL33948208600000X
CAA80731208G00000X, 208600000X
KY44463208G00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A807310Medicaid
CA00A807310Medicaid
CA00A807310Medicare PIN