Erin Hanover, M.D. LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MD.29132 Issued in AL

Legal business name

ERIN HANOVER, M.D. LLC

Practice address

200 Chase Park S
Suite 102
Birmingham, AL 35244-1884

Phone

(205) 987-0724

Fax

(205) 987-0725

NPI assigned

Jun 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Erin Emmanuel Hanover, M.D.

Title

Sole Proprietor

Phone

(205) 767-0564

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1710274741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HOLLAND TRL",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351243973",
            "telephone_number": "205-767-0564",
            "fax_number": "205-987-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHASE PARK S",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441884",
            "telephone_number": "205-987-0724",
            "fax_number": "205-987-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN HANOVER, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "HANOVER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "205-767-0564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AL",
            "license": "MD.29132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1073716064",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R9629",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amir Robert Erian
• Eric Crowe, M.D., LLC
• Allison Dean Erickson, CRNP
• Ron Glenn Erickson
• Erin Hanover MD LLC
• Erin L Gaither, DDS, Ms
• Erin R Heckman OD LLC
• Frederick William Ernst, MD
• Eros Health Center LLC
• Stella Louise Ervin

• Adult Mental Health Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Adult Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.