MEDICARE: ROBERT EARL HOPPES JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	43856	KY
2	207P00000X	Emergency Medicine Physician	2010039555	MO
3	208600000X	Surgery Physician	43856	KY
4	2086S0102X	Surgical Critical Care Physician	43856	KY
5	208600000X	Surgery Physician	2010039555	MO
6	2086S0102X	Surgical Critical Care Physician	2010039555	MO

General Provider Information

NPI Number	:	1568568533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT EARL HOPPES JR. MD

Provider Business Mailing Address
First Line	:	723 BURKESVILLE RD
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1654
Country	:	US
Telephone Number	:	606-387-6421
Fax Number	:

Provider Business Practice Location Address
First Line	:	723 BURKESVILLE RD
Second Line	:
City	:	ALBANY
State	:	KY
Zip	:	42602-1654
Country	:	US
Telephone Number	:	606-387-6421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	03/09/2011

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