Active NPI
Hanover Anesthesia, LLC
- Pain Medicine (Anesthesiology) Physician
- Mechanicsville, VA
National Provider Identifier
1427152099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- HANOVER ANESTHESIA, LLC
- Practice address
- 7016 Lee Park Rd
Mechanicsville, VA 23111-3682 - Phone
- (804) 730-9000
- Fax
- (301) 829-7694
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Lee Jordan, M.D.
- Title
- President
- Phone
- (301) 829-7683
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
7016 Lee Park Rd
Mechanicsville, VA 23111-3682
Mailing address
602 Center St
Suite E
Mount Airy, MD 21771-7420
Phone (301) 829-7683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB9839 | Other | VA | RR MEDICAREGROUP# |
National Provider Directory
National Provider DirectoryLocations
602 Center St
Ste E
Mount Airy, MD 21771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427152099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 CENTER ST",
"address_2": "SUITE E",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217717420",
"telephone_number": "301-829-7683",
"fax_number": "301-829-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 LEE PARK RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113682",
"telephone_number": "804-730-9000",
"fax_number": "301-829-7694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANOVER ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-829-7683",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICAREGROUP#",
"identifier": "DB9839",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.