Active NPI
Roderick Edward Hines, MD
- Neurology Physician
- Lancaster, PA
National Provider Identifier
1528065729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD021886E
- Practice address
- 2150 Harrisburg Pike Ste 200a
Lancaster, PA 17601-2644 - Phone
- (717) 396-9167
- Fax
- (717) 396-9064
- NPI assigned
- Jul 1, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD021886E | PA | Primary |
Addresses
Primary practice location
2150 Harrisburg Pike Ste 200a
Lancaster, PA 17601-2644
Mailing address
2150 Harrisburg Pike Ste 200a
Lancaster, PA 17601-2644
Phone (717) 396-9167
Other practice location 1
1869 Charter Ln
Suite 101
Lancaster, PA 17601-5956
Phone (717) 396-9167
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 |
|---|---|---|---|
| MD021886E | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528065729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 HARRISBURG PIKE STE 200A",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-396-9167",
"fax_number": "717-396-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 HARRISBURG PIKE STE 200A",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012644",
"telephone_number": "717-396-9167",
"fax_number": "717-396-9064"
}
],
"practiceLocations": [
{
"address_1": "1869 Charter Ln",
"address_2": "SUITE 101",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176015956",
"country_code": "US",
"telephone_number": "717-396-9167",
"fax_number": "717-396-9064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "RODERICK",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD021886E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.