| Kristopher Gray Hooten, MD | |
| 
					8901 Wisconsin Ave, Bethesda, MD 20889-0265  | |
| (301) 295-4420 | |
| (352) 392-8413 | 
| Full Name | Kristopher Gray Hooten | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 8901 Wisconsin Ave, Bethesda, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528296076 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | D0096420 (Maryland) | Secondary | 
| 207T00000X | Neurological Surgery | ME109862 (Florida) | Primary | 
| Entity Name | Kapiolani Medical Specialists | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristopher Gray Hooten, MD 8901 Wisconsin Ave, Bethesda, MD 20889-5600 Ph: (301) 295-4420  | Kristopher Gray Hooten, MD 8901 Wisconsin Ave, Bethesda, MD 20889-0265 Ph: (301) 295-4420  | 
Ross C Puffer, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-4000  | |
Dr. Jeff Jacobson, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4927 Auburn Ave, Ste T50, Bethesda, MD 20814 Phone: 301-718-9611 Fax: 301-718-2979  | |
Dr. Samuel J Potolicchio Jr., MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Hampden Ln Ste 300, Bethesda, MD 20814 Phone: 301-652-7155 Fax: 301-246-8628  | |
Louis Chang, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10215 Fernwood Rd, Bethesda, MD 20817 Phone: 301-897-8850  | |
Dr. Lisa Patricia Mulligan, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: National Naval Medical Center/ Dept Of Neurosurger, 8901 Wisconsin Ave. Bldg. 9, 2nd Deck, Bethesda, MD 20889 Phone: 301-295-4421 Fax: 301-295-4430  | |
Edjah Nduom, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Center Dr 10/3d20, Msc 1414, Bethesda, MD 20892 Phone: 301-496-2921  | |
Dr. Jared Joseph Marks,  Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6420 Rockledge Dr Ste 4920, Bethesda, MD 20817 Phone: 301-896-6069 Fax: 301-896-8802  |