GEOFFREY W HOOVER MD PLLC (NPI# 1194741249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194741249 |
| Entity Type | Organization |
| Organization Name | GEOFFREY W HOOVER MD PLLC |
| Practice Address |
122 N Bryant Ave Ste 1 Edmond OK 73034-6349 |
| Practice Telephone | 4052168960 |
| Practice Fax Number | 4052168965 |
| Mailing Telephone | 4052168960 |
| Mailing Fax Number | 4052168965 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | GEOFFREY HOOVER (OWNER) |
| Authorized Official Telephone | 4052168960 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
21239 | OK | Ambulatory Health Care Facilities |
| Street Address |
122 N BRYANT AVE STE 1 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1699012435 | Optima Weight & Wellness, LLC | Clinic/Center | 1489 E 15th St, Suite 108, Edmond, OK 73013-5054 | 2013-01-14 |
| 1396909446 | Bryant Street Family Medicine, P.C. | Clinic/Center | 305 South Bryant Ave, 110, Edmond, OK 73034 | 2008-07-17 |
| 1699391797 | Pollard Family Health and Wellness, LLC | Clinic/Center | 1404 Nw 186th St, Edmond, OK 73012-6202 | 2020-06-24 |
| 1922552348 | Careatc - City of Edmond | Clinic/Center | 28 E Main St, Suite 100, Edmond, OK 73034-4502 | 2016-08-15 |
| 1063525954 | Canyon Park Medical Group, Pllc | Clinic/Center | 1501 E 19th St, Edmond, OK 73013-6618 | 2006-08-16 |
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| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.