Organization Active NPI

Obstetric & Gynecologic Associates of Hanover, Inc.

  • Obstetrics & Gynecology Physician
  • Hanover, PA
National Provider Identifier
1336167113
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD019036E Issued in PA
Legal business name
OBSTETRIC & GYNECOLOGIC ASSOCIATES OF HANOVER, INC.
Practice address
120 Penn St
Hanover, PA 17331-1928
Phone
(717) 632-1477
Fax
(717) 632-8253
NPI assigned
Jul 18, 2006
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. William A Prin, M.D.
Title
President
Phone
(717) 632-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD019036E PA Primary

Addresses

Primary practice location

120 Penn St
Hanover, PA 17331-1928

Mailing address

120 Penn St
Hanover, PA 17331-1928
Phone (717) 632-1477

Other identifiers 1

IdentifierTypeStateIssuer
0007257230001MedicaidPA

National Provider Directory

National Provider Directory

Locations

120 Penn St
Hanover, PA 17331
Phone (717) 632-1477

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1336167113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311928",
            "telephone_number": "717-632-1477",
            "fax_number": "717-632-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PENN ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311928",
            "telephone_number": "717-632-1477",
            "fax_number": "717-632-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRIC & GYNECOLOGIC ASSOCIATES OF HANOVER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "PRIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-632-1477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD019036E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007257230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.