William Glenn Hadcock, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Practice address

3700 Kolbe Rd
CHP Regional Medical Center
Lorain, OH 44053-1611

Phone

(440) 960-3000

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356388417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 BRIAN DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KOLBE RD",
            "address_2": "CHP REGIONAL MEDICAL CENTER",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531611",
            "telephone_number": "440-960-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADCOCK",
        "first_name": "WILLIAM",
        "middle_name": "GLENN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636417",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00319996",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2324925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H.O.P.E. Works LLC
• Christopher A. Haas, M.D.
• Emma Grace Haas, OTD
• Aimee V Haber, M.D.
• Patricia Ann Hackenburg
• Kaitlyn Hadley
• Safeta S Hagen, CRNA
• Shelia Hager
• Jennifer Hagy, QMHS MA CMS MA
• Kirk Charles Haidet, M.D.

• Emergency Medicine Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.