Michael P Hancock, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME101338 Issued in FL

Practice address

301 Thomas Ave
Frostproof, FL 33843-9128

Phone

(863) 223-2761

NPI assigned

Nov 27, 2006

Last updated

Jun 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1306912951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 THOMAS AVE",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338439128",
            "telephone_number": "863-223-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 THOMAS AVE",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338439128",
            "telephone_number": "863-223-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME101338",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "023978",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME101338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00237564K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Health Care, Inc. (Central Florida Health Care-Frostproof)
• Deborah Desouza
• Fabiola Dutes Fairgrieve, M.D. J.D.
• Frostproof Medical and Surgical Center PA
• Carlson Hamilton
• Jarquin Family Practice LLC
• Donald L Johnson, ARNP
• Karnella Gay Johnson
• Heather Marie Lutz, DO
• Teresa A Lyle, ARNP

• Emergency Medicine Physician in Frostproof, FL
• Providers in Frostproof, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.