NPIMap

Organization Active NPI

Hancock Regional Hospital

  • Surgery Physician
  • Greenfield, IN
National Provider Identifier
1114016987
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

801 N State St
Ste 305
Greenfield, IN 46140
Phone (317) 477-6363

888 W New Rd
Greenfield, IN 46140
Phone (317) 468-6100

Practitioners & affiliated clinicians

Practitioners 108

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.

View all 108

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": [],
    "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.

Verify at the official NPI Registry.