Hanover Family Practice Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HANOVER FAMILY PRACTICE ASSOCIATES, LLC

Practice address

111 Penn St
Hanover, PA 17331-1929

Phone

(717) 632-4449

NPI assigned

May 2, 2006

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Moul

Title

Practice Administrator

Phone

(717) 632-0774

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 27

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.

• Shelby Jean Bare, CRNP

  • Family Nurse Practitioner
  • Hanover, PA
  • NPI 1558979062
  Medicare reassignment Care Compare group NPD
• Maureen Eisenberg, D.O.

  • Family Medicine Physician
  • Hanover, PA
  • NPI 1336148121
  Medicare reassignment Care Compare group NPD
• Pamela L Gordon, CRNP

  • Family Nurse Practitioner
  • Hanover, PA
  • NPI 1376996256
  Medicare reassignment Care Compare group NPD
• Heather Ann Hamme, FNP-C

  • Family Nurse Practitioner
  • Hanover, PA
  • NPI 1922572759

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Robert J Henke Jr., M.D.

  • Family Medicine Physician
  • Hanover, PA
  • NPI 1235138975
  Medicare reassignment Care Compare group NPD
• John W Lunsford Jr., M.D.

  • Family Medicine Physician
  • Hanover, PA
  • NPI 1013916899
  Medicare reassignment Care Compare group NPD
• Rory Barrett Milcarek, MD

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1780063867
  Medicare reassignment Care Compare group NPD
• Denise L Miller, CRNP

  • Family Nurse Practitioner
  • Hanover, PA
  • NPI 1750380606
  Medicare reassignment Care Compare group NPD
• Stephen James Pfisterer, PHYSICAL THERAPIST

  • Specialist
  • Hanover, PA
  • NPI 1366553265
  Medicare reassignment Care Compare group NPD
• Jennifer A Rein, M.D.

  • Family Medicine Physician
  • Hanover, PA
  • NPI 1376542159
  Medicare reassignment Care Compare group NPD
• Erica Korin Wentz, MD

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1063892545
  Medicare reassignment Care Compare group NPD
• Dana A Yealy, CRNP

  • Family Nurse Practitioner
  • Hanover, PA
  • NPI 1346750395
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1235197104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311929",
            "telephone_number": "717-632-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311929",
            "telephone_number": "717-632-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER FAMILY PRACTICE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "MOUL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "717-632-0774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "827916",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007518240013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02307000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "238893",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANCE BLUE CROSS",
            "identifier": "0859603000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1520197",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ ASSURANCE",
            "identifier": "182943",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5337129",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "CC6198",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanover Anesthesiology and Pain Medicine, P.C.
• Hanover Apothecary Inc.
• Hanover Area Fire and Rescue Commission
• Hanover Cardiology Associates PC
• Hanover Cardiology, LLC
• Hanover Fire Company 1 (HealthStat Medical Solutions)
• Hanover Foot and Ankle Associates, PC
• Hanover Hand and Upper Extremity Specialist, LLC (Gentile Hand Clinic, Hanover Hand Center)
• Hanover Health Corporation
• Hanover Health Corporation (Hanover Medical Group)

• Family Medicine Physician in Hanover, PA
• Providers in Hanover, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.