Hanover Medical Specialists P a

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

40135 Issued in NC

Legal business name

HANOVER MEDICAL SPECIALISTS P A

Practice address

1515 Doctors Cir
Wilmington, NC 28401-7403

Phone

(910) 763-1219

Fax

(910) 763-0291

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Barbara L. Maisenhelder

Title

Chief Executive Officer

Phone

(910) 815-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Rocco Mastrangelo, MD

  • Gastroenterology Physician
  • Wilmington, NC
  • NPI 1376537712
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1477598944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017403",
            "telephone_number": "910-763-1219",
            "fax_number": "910-763-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017403",
            "telephone_number": "910-763-1219",
            "fax_number": "910-763-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER MEDICAL SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MAISENHELDER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-815-0889"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "40135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charin Lee Hanlon, M.D.
• Brittany Hannah
• Megan Renee Hannah, MA
• Amber Hannon, B.S.
• Scott Q Hannum, M.D.
• Hanover Medical Specialists PA
• Hanover Medical Specialists, P.a.
• Hanover Mental Health, PLLC
• Hanover Pediatrics
• Hanover Primary Care

• Medical Oncology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Medical Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.