Active NPI
Hancock Regional Hospital
- Surgery Physician
- Greenfield, IN
National Provider Identifier
1114016987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HANCOCK REGIONAL HOSPITAL
- Practice address
- 1 Memorial SQ Ste 100
Greenfield, IN 46140-2819 - Phone
- (317) 462-3255
- NPI assigned
- Oct 12, 2006
- 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
- Mr. Rick Edwards
- Title
- VP of Finance & Business Serv
- Phone
- (317) 485-4577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1 Memorial SQ Ste 100
Greenfield, IN 46140-2819
Mailing address
PO Box 129
Greenfield, IN 46140-0129
Phone (317) 468-6221
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114016987 | Other | IN | NPI NUMBER FOR HANCOCK REGIONAL HOSPITAL - |
| 000000493483 | Other | IN | ANTHEM PIN # |
| 200941580A | Medicaid | IN | |
| 200841490 | Medicaid | IN | |
| 1467485003 | Other | IN | NPI NUMBER FOR HANCOCK REGIONAL HOSPITAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401000258 | IN | Part B Supplier - Clinic/Group Practice | 1850205162 |
Receives reassigned benefits from 80 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenfield, IN; Shelbyville, IN; Rushville, IN; New Palestine, IN; McCordsville, IN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
801 N State St
Ste 2100
Greenfield, IN 46140
Phone (317) 477-6683
801 N State St
Ste 2200
Greenfield, IN 46140
Phone (317) 462-6662
801 N State St
Ste 100
Greenfield, IN 46140
Phone (317) 462-3255
Practitioners & affiliated clinicians
Practitioners 108
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Greenfield, IN
- NPI 1558597807
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
- NPI 1386689776
-
- Nephrology Physician
- Greenfield, IN
- NPI 1134371487
-
- Physical Therapist
- Greenfield, IN
- NPI 1316823198
-
- Infectious Disease Physician
- Carmel, IN
- NPI 1972541936
-
- Registered Dietitian
- Greenfield, IN
- NPI 1497372031
-
- Radiation Oncology Physician
- Indianapolis, IN
- NPI 1942435797
-
- Physician Assistant
- New Castle, IN
- NPI 1780141861
-
- Orthopedic Physical Therapist
- Greenfield, IN
- NPI 1912488743
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1770585317
-
- Infectious Disease Physician
- Carmel, IN
- NPI 1619939055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251158400000",
"number": "1114016987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461400129",
"telephone_number": "317-468-6221",
"fax_number": "317-468-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL SQ STE 100",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402819",
"telephone_number": "317-462-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANCOCK REGIONAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2009-08-25",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "VP OF FINANCE & BUSINESS SERV",
"authorized_official_telephone_number": "317-485-4577",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER FOR HANCOCK REGIONAL HOSPITAL -",
"identifier": "1114016987",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "000000493483",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200941580A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200841490",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER FOR HANCOCK REGIONAL HOSPITAL",
"identifier": "1467485003",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.