Organization Active NPI

Hanover Surgical Associates

  • Specialist
  • Hanover, PA
National Provider Identifier
1750461406
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD016695E Issued in PA
Legal business name
HANOVER SURGICAL ASSOCIATES
Practice address
400 York St
Hanover, PA 17331-3357
Phone
(717) 637-8955
Fax
(717) 637-6376
NPI assigned
Oct 17, 2006
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Mrs. Theresa A Haugh
Title
Practice Manager
Phone
(717) 677-4258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD016695E PA Primary

Addresses

Primary practice location

400 York St
Hanover, PA 17331-3357

Mailing address

400 York St
Hanover, PA 17331-3357
Phone (717) 637-8955

Other identifiers 3

IdentifierTypeStateIssuer
0006975490001MedicaidPA
98225OtherPAHIGHMARK BLUE SHIELD
02308000OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

400 York St
Hanover, PA 17331
Phone (717) 316-7315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1750461406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 YORK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313357",
            "telephone_number": "717-637-8955",
            "fax_number": "717-637-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 YORK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313357",
            "telephone_number": "717-637-8955",
            "fax_number": "717-637-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "HAUGH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "717-677-4258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD016695E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006975490001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "98225",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02308000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.