Hanover Surgicenter, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

01681500 Issued in PA

Legal business name

HANOVER SURGICENTER, L.L.C.

Practice address

250 Fame Ave
Suite 130
Hanover, PA 17331-1587

Phone

(717) 633-1600

Fax

(717) 633-6556

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Denise A Fake, R.N.

Title

Administrator

Phone

(717) 637-1600

Specialties & licenses 1

Addresses

Listed as

Hanover Surgicenter LLCCCN 39C0001041

Medicare certification status

Terminated Voluntary: merger or closure, Jul 10, 2025From the Provider of Services file

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1174525661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUIE 130",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-633-1600",
            "fax_number": "717-633-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 130",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-633-1600",
            "fax_number": "717-633-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER SURGICENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "FAKE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-637-1600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "01681500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanover Pathology Associates
• Hanover Pediatric Associates, P.C.
• Hanover Pediatric Dentistry
• Hanover Public School District
• Hanover Surgical Associates
• Hanover Urology Associates Inc
• Hanover Women'S Health Care PC
• Hanover YMCA
• Erin Hanson
• Linda Happel

• Ambulatory Surgical Clinic/Center in Hanover, PA
• Providers in Hanover, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.