Hanover Outpatient Surgery Center, L.P.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH657 Issued in VA

Legal business name

HANOVER OUTPATIENT SURGERY CENTER, L.P.

Practice address

7016 Lee Park Rd
Mechanicsville, VA 23111-3682

Phone

(804) 730-9000

Fax

(804) 730-1460

NPI assigned

Apr 7, 2006

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Scott Cross, MD

  • Otolaryngology Physician
  • Mechanicsville, VA
  • NPI 1487697868
  NPD (past)

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HCA Health Services of Virginia, Inc.

  • Electrodiagnostic Medicine Physician
  • Richmond, VA
  • NPI 1750768131

  Member Of

  NPD member

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Don Liedtke

Title

Vice President

Phone

(615) 344-5507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hanover Outpatient Surgery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2012.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1083677595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 LEE PARK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113682",
            "telephone_number": "804-730-9000",
            "fax_number": "804-730-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 LEE PARK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113682",
            "telephone_number": "804-730-9000",
            "fax_number": "804-730-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER OUTPATIENT SURGERY CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-344-5507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010188334",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanover Counseling Associates, PLLC
• Hanover Dermatology PC
• Hanover Family Eyecare
• Hanover Family Physicians P.C.
• Hanover Home Health Care, LLC
• Hanover Rehabilitation Associates, LLC
• Melissa Harp Harden, OTR/L
• Lacy Anna Marie Harkrader, MD
• Keith Harmon
• Harness Health Partners LLC

• All providers in Mechanicsville, VA
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.