Active NPI
Joseph E Hancock, M.D.
- Gastroenterology Physician
- Lubbock, TX
National Provider Identifier
1194713222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- H8676
- Practice address
- 3502 9TH St
Suite 360
Lubbock, TX 79415-3300 - Phone
- (806) 761-0747
- Fax
- (806) 761-0751
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | H8676 | TX | Primary |
Addresses
Primary practice location
3502 9TH St
Suite 360
Lubbock, TX 79415-3300
Mailing address
PO Box 64864
Lubbock, TX 79490
Phone (806) 785-2045
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114476100 | Other | TX | FIRSTCARE COMMERCIAL |
| 47220571 | Medicaid | NM | |
| 53297 | Other | NM | PRESBYTERIAN COMMERCIAL |
| D002 | Other | TX | TRIWEST |
| 100846160A | Medicaid | OK | |
| 114476106 | Medicaid | TX | |
| 128124808 | Medicaid | TX | |
| 86959X | Other | TX | HMO BLUE |
| 0097JP | Other | TX | BCBS |
| 53297 | Medicaid | NM | |
| 8G6720 | Other | TX | BC/BS |
| 128124807 | Medicaid | TX | |
| 128124809 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Carson Valley Medical Group Inc | Current | Accepting new patients | |
| Anesthesia Webb, PLLC | Past | Accepting new patients | |
| Gastroenterology Assoc., LLP | Past | Accepting new patients |
Locations
1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
Interoperability endpoints
- jhancock344342@ahs.direct-ci.com
- jhancock@yourcarecommunity.org
- joseph.hancock1@direct.myteamcare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1508865528
-
- Gastroenterology Physician
- Lubbock, TX
- NPI 1346279221
-
- Certified Registered Nurse Anesthetist
- Abilene, TX
- NPI 1225455702
-
- Specialist
- Abilene, TX
- NPI 1508846049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1194713222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64864",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79490",
"telephone_number": "806-785-2045",
"fax_number": "806-785-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 9TH ST",
"address_2": "SUITE 360",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153300",
"telephone_number": "806-761-0747",
"fax_number": "806-761-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JOSEPH",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "H8676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE COMMERCIAL",
"identifier": "114476100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47220571",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "53297",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "D002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100846160A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114476106",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128124808",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "86959X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0097JP",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53297",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8G6720",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128124807",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128124809",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.