Active NPI
Randy A Hock, MD
- Pediatric Hematology & Oncology Physician
- Charlotte, NC
National Provider Identifier
1477597615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 2009-01889
- Practice address
- 301 Hawthorne LN
Suite 100
Charlotte, NC 28204-2450 - Phone
- (704) 384-1900
- Fax
- (704) 384-1919
- NPI assigned
- Jun 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 01039910 | IN | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 2009-01889 | NC | Primary |
Addresses
Primary practice location
301 Hawthorne LN
Suite 100
Charlotte, NC 28204-2450
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100119940 | Medicaid | IN | |
| NC1060 | Medicaid | SC | |
| 5913490 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039910 | IN | MD | Pediatric Hematology & Oncology Physician |
| 2009-01889 | NC | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Indiana University Health North Hospital, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1477597615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-1900",
"fax_number": "704-384-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HAWTHORNE LN",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042450",
"telephone_number": "704-384-1900",
"fax_number": "704-384-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCK",
"first_name": "RANDY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "IN",
"license": "01039910",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NC",
"license": "2009-01889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119940",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC1060",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5913490",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.