Active NPI
Hans P Hinterkopf, PA
- Physician Assistant
- Dickson, TN
National Provider Identifier
1356322796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 009206 | NY | MD | Optometrist |
| 3207 | TN | MD | Speech-Language Pathologist |
| PA3207 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hospitalist Physician
- Olean, NY
- NPI 1417179094
-
- Emergency Medical Services (Emergency Medicine) Physician
- Olean, NY
- NPI 1609967744
-
- Pediatrics Physician
- Cuba, NY
- NPI 1982802435
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.