Family Medicine of Hanover LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD025485L Issued in PA

Legal business name

FAMILY MEDICINE OF HANOVER LLC

Practice address

100 Frederick St
Hanover, PA 17331-3506

Phone

(717) 632-7474

Fax

(717) 632-7478

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vernon H Preston, MD

Title

Owner

Phone

(717) 632-7474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1265700728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 OLD SCHOOLHOUSE LN",
            "address_2": "STE 3",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555684",
            "telephone_number": "717-691-7100",
            "fax_number": "717-691-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FREDERICK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313506",
            "telephone_number": "717-632-7474",
            "fax_number": "717-632-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF HANOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-632-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025485L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 26, 2012; 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.