Healthcare Provider Details

I. General information

NPI: 1780474841
Provider Name (Legal Business Name): CHERYL LYNN HOOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2025
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

32100 GATES MILLS BLVD
PEPPER PIKE OH
44124-4369
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-0040
  • Fax:
Mailing address:
  • Phone: 216-513-2756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberRN.225905
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: