Active NPI
Hanover Outpatient Surgery Center, L.P.
Doing business as Hanover Outpatient Surgery Center
- Ambulatory Surgical Clinic/Center
- Mechanicsville, VA
National Provider Identifier
1083677595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OH657
- Legal business name
- HANOVER OUTPATIENT SURGERY CENTER, L.P.
- Doing business as
- Hanover Outpatient Surgery Center
- Practice address
- 7016 Lee Park Rd
Mechanicsville, VA 23111-3682 - Phone
- (804) 730-9000
- Fax
- (804) 730-1460
- NPI assigned
- Apr 7, 2006
- Last updated
- May 24, 2012
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OH657 | VA | Primary |
Addresses
Primary practice location
7016 Lee Park Rd
Mechanicsville, VA 23111-3682
Mailing address
7016 Lee Park Rd
Mechanicsville, VA 23111-3682
Phone (804) 730-9000
Other names 1
- Hanover Outpatient Surgery Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Henrico Doctors' Hospital
- Rehabilitation Hospital Unit
- Richmond, VA
- NPI 1073550166
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Mechanicsville, VA
- NPI 1487697868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanover Outpatient Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mechanicsville, VA
- 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 (Harness Health Partners - Hanover County Be Well Center)
Sources for this page
- 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.