Healthcare Provider Details

I. General information

NPI: 1669345112
Provider Name (Legal Business Name): CMH GROUP P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16515 MERIDIAN E STE 105B
PUYALLUP WA
98375-6253
US

IV. Provider business mailing address

16515 MERIDIAN E STE 105B
PUYALLUP WA
98375-6253
US

V. Phone/Fax

Practice location:
  • Phone: 253-987-9111
  • Fax: 844-827-2764
Mailing address:
  • Phone: 253-987-9111
  • Fax: 844-827-2764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: CODY M HOOVER
Title or Position: DOCTOR/OWNER
Credential: DPM
Phone: 253-973-6590