KENNETH A. HOOSE JR. M.D. P.C. NPI 1396921417

NPI Information

NPI: 1396921417
Provider Name: KENNETH A. HOOSE, JR., M.D., P.C.
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Address: 2675 N DECATUR RD
SUITE 607
DECATUR, GA
ZIP 30033
Phone: (404) 501-7640

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NPI Details

KENNETH A. HOOSE, JR., M.D., P.C. is a cardiovascular disease internal medicine in Decatur, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. KENNETH A. HOOSE, JR., M.D., P.C. NPI is 1396921417. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2675 N DECATUR RD
SUITE 607
DECATUR, GA
ZIP 30033-131
Phone: (404) 501-7640
Fax: (404) 501-7601

The provider's authorized official is Kenneth Arthur Hoose .
The authorized official title is President and has the following contact phone number (404) 501-7640.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 9/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	10962	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000098876A	MEDICAID	GEORGIA
2	110962080A	MEDICARE PIN	GEORGIA
3	048575	OTHER	GEORGIA	BLUE CROSS/BLUE SHIELD
4	011003745	OTHER	GEORGIA	MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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