Basic Information
| Provider Information | |||||||||
| NPI: | 1558304360 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOOPER | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | EDWARD | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8310 | ||||||||
| Address2: | |||||||||
| City: | ROANOKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240140310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403453556 | ||||||||
| FaxNumber: | 5403422193 | ||||||||
| Practice Location | |||||||||
| Address1: | 512A MCDOWELL AVE NE # A | ||||||||
| Address2: | |||||||||
| City: | ROANOKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240161524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403453556 | ||||||||
| FaxNumber: | 5403422193 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2006 | ||||||||
| LastUpdateDate: | 05/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 0101037335 | VA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0106X | 0101037335 | VA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
ID Information
| ID | Type | State | Issuer | Description | 258165 | 01 | VA | SOUTHERN HEALTH | OTHER | 176108 | 01 | VA | ANTHEM | OTHER | 2137863 | 01 | VA | MAMSI | OTHER | P00240456 | 01 | VA | RAILROAD MEDICARE | OTHER | 010156713 | 05 | VA | MEDICAID | 542006922 | 01 | VA | UNITED HEALTHCARE | OTHER | 393326001 | 01 | VA | ADMINISTAR FEDERAL | OTHER | 4261579 | 01 | VA | AETNA | OTHER | 6039065 | 01 | VA | CIGNA | OTHER |