MEDICARE: SCOTT P. HOOPES, M.D., P.A.

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	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	86389	OTHER	ID	BLUE CROSS GROUP #

General Provider Information

NPI Number	:	1891816823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT P. HOOPES, M.D., P.A.

Provider Business Mailing Address
First Line	:	2273 E GALA ST
Second Line	:	SUITE 100
City	:	MERIDIAN
State	:	ID
Zip	:	83642-7289
Country	:	US
Telephone Number	:	208-898-8999
Fax Number	:	208-898-8989

Provider Business Practice Location Address
First Line	:	2273 E GALA ST
Second Line	:	SUITE 100
City	:	MERIDIAN
State	:	ID
Zip	:	83642-7289
Country	:	US
Telephone Number	:	208-898-8999
Fax Number	:	208-898-8989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT PARTRIDGE HOOPES
Credential	:	M.D.
Telephone Number	:	208-898-8999

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/22/2020

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Directions to “SCOTT P. HOOPES, M.D., P.A. ” Practice Location

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