Hanover Health Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HANOVER HEALTH CORPORATION

Practice address

300 Highland Avenue
Hanover, PA 17331-2297

Phone

(717) 637-3711

Fax

(717) 646-0188

NPI assigned

Jul 2, 2009

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.

• Shannon Alloway, PA

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

  • Internal Medicine Physician
  • Hanover, PA
  • NPI 1255427332

  Internal Medicine

  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

  Family Medicine

  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

  Family Medicine

  NPD (past)
• Christy Renee Skibicki, MD

  • Family Medicine Physician
  • Camp Hill, PA
  • NPI 1467446336

  Family Medicine

  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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102387691",
            "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
• Hanover Foot and Ankle Associates, PC
• Hanover Hand and Upper Extremity Specialist, LLC
• Hanover Health Corporation
• Hanover Health Corporation Inc
• Hanover Health Corporation Inc
• Hanover Health Corporation Inc
• Hanover Health Corporation, Inc
• Hanover Health Corporation, Inc.

• All providers in Hanover, PA
• 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.