Individual provider Active NPI

Hans P Hinterkopf, PA

  • Physician Assistant
  • Dickson, TN
National Provider Identifier
1356322796
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3207 Issued in TN
Practice address
117 N Main St
Dickson, TN 37055-1836
Phone
(931) 623-4203
Fax
(931) 650-3697
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3207 TN Primary

Addresses

Primary practice location

117 N Main St
Dickson, TN 37055-1836

Mailing address

117 N Main St
Dickson, TN 37055-1836
Phone (931) 623-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 23, 2017 through Aug 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009206NYMDOptometrist
3207TNMDSpeech-Language Pathologist
PA3207TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leo Cusumano, M.D. PLLC Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients
Exigence Hospitalist Medical Services of Olean, PLLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1356322796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551836",
            "telephone_number": "931-623-4203",
            "fax_number": "931-650-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551836",
            "telephone_number": "931-623-4203",
            "fax_number": "931-650-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTERKOPF",
        "first_name": "HANS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.