NPIMap

Organization Active NPI

Hanover Anesthesiology and Pain Medicine, P.C.

  • Anesthesiology Physician
  • Hanover, PA
National Provider Identifier
1164437612
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HANOVER ANESTHESIOLOGY AND PAIN MEDICINE, P.C.
Practice address
250 Fame Ave
Suite 102
Hanover, PA 17331-1587
Phone
(717) 632-9955
Fax
(717) 632-9893
NPI assigned
Jul 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Susan E. Mummert
Title
Practice Administrator
Phone
(717) 632-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X PA Primary

Addresses

Primary practice location

250 Fame Ave
Suite 102
Hanover, PA 17331-1587

Mailing address

250 Fame Ave Ste 110
Hanover, PA 17331-1587
Phone (717) 632-9955

National Provider Directory

National Provider Directory

Locations

250 Fame Ave
Ste 110
Hanover, PA 17331
Phone (717) 633-7775

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164437612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE STE 110",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-632-9955",
            "fax_number": "717-632-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 102",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-632-9955",
            "fax_number": "717-632-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER ANESTHESIOLOGY AND PAIN MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "MUMMERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-632-9955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.