Walter C Hancock DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000330 Issued in IN

Legal business name

WALTER C HANCOCK DPM

Practice address

603 Dorbett St
Jasper, IN 47546-2615

Phone

(812) 482-4488

Fax

(812) 482-5588

NPI assigned

Jan 30, 2007

Organization subpart

Yes

Parent organization

WALTER C HANCOCK DPMAs reported in NPPES

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

Authorized official

Name

Dr. Walter Hancock, DPM

Title

DPM

Phone

(812) 482-4488

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Walter Hancock DPM PC

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1619013281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-482-4488",
            "fax_number": "812-482-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-482-4488",
            "fax_number": "812-482-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER C HANCOCK DPM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTER C HANCOCK DPM",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "812-482-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000108408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Jasper, IN
• Providers in Jasper, IN by specialty
• Podiatrist in Indiana

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