Hanover Health Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HANOVER HEALTH CORPORATION

Doing business as

Hanover Medical Group

Practice address

300 Highland Avenue
Hanover, PA 17331-2297

Phone

(717) 637-3711

Fax

(717) 646-0188

NPI assigned

Jul 2, 2009

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael W Gaskins

Title

Interim Ceo/Cfo

Phone

(717) 316-2153

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Hanover Medical Group Doing business as

Locations

Practitioners 27

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.

• Shannon Alloway, PA

  • Physician Assistant
  • Chambersburg, PA
  • NPI 1598178824
  NPD (past)
• Warren C Daniels, MD

  • Internal Medicine Physician
  • Hanover, PA
  • NPI 1255427332
  NPD (past)
• Sondra M Depalma, PA-C

  • Physician Assistant
  • Carlisle, PA
  • NPI 1871563502
  NPD (past)
• David Kuhn, PA-C

  • Physician Assistant
  • Allentown, PA
  • NPI 1740618123
  NPD (past)
• Marko Adam Miljkovic, M.D.

  • Family Medicine Physician
  • Hummelstown, PA
  • NPI 1821208414
  NPD (past)
• Amy R Olayiwola, PA-C

  • Physician Assistant
  • Carlisle, PA
  • NPI 1093072670
  NPD (past)
• Leslie Pelakh

  • Physician Assistant
  • Hanover, PA
  • NPI 1780175471
  NPD (past)
• William Daniel Seibert, DO

  • Family Medicine Physician
  • Littlestown, PA
  • NPI 1588620272
  NPD (past)
• Christy Renee Skibicki, MD

  • Family Medicine Physician
  • Camp Hill, PA
  • NPI 1467446336
  NPD (past)
• Chad Daniel Smucker, PA-C

  • Physician Assistant
  • Wyomissing, PA
  • NPI 1336495431
  NPD (past)
• Lyndsay L Snyder, PA-C

  • Physician Assistant
  • Gettysburg, PA
  • NPI 1710268339
  NPD (past)
• George L Zimmerman, PA

  • Physician Assistant
  • Hanover, PA
  • NPI 1982791604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1093944779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND AVENUE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312297",
            "telephone_number": "717-316-3711",
            "fax_number": "717-646-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGHLAND AVENUE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312297",
            "telephone_number": "717-637-3711",
            "fax_number": "717-646-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "INTERIM CEO/CFO",
        "authorized_official_telephone_number": "717-316-2153"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102387691",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanover Family Practice Associates, LLC
• Hanover Fire Company 1 (HealthStat Medical Solutions)
• Hanover Foot and Ankle Associates, PC
• Hanover Hand and Upper Extremity Specialist, LLC (Gentile Hand Clinic, Hanover Hand Center)
• Hanover Health Corporation
• Hanover Health Corporation Inc
• Hanover Health Corporation Inc (Hanover Family Care Center)
• Hanover Health Corporation Inc (South Hanover Family Care Center)
• Hanover Health Corporation, Inc (Vipul Shah, MD.)
• Hanover Health Corporation, Inc. (David L. Crooks, M.D.)

• Multi-Specialty Clinic/Center in Hanover, PA
• Providers in Hanover, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.