Basic Information
Provider Information
NPI: 1609219781
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOOPS
FirstName: HEATHER
MiddleName: EMMALEE
NamePrefix: MS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3181 SW SAM JACKSON PARK RD
Address2:  
City: PORTLAND
State: OR
PostalCode: 972393011
CountryCode: US
TelephoneNumber: 5034945300
FaxNumber: 5034946519
Practice Location
Address1: 3550 TERRACE STREET SCAIFE HALL ROOM 651
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152613011
CountryCode: US
TelephoneNumber: 4126473136
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/09/2013
LastUpdateDate: 10/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD177293ORN Allopathic & Osteopathic PhysiciansSurgery 
2086S0102XMD177293ORN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0127XMD177293ORY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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