Active NPI
Gerald William Hake, MD
- Internal Medicine Physician
- Sandston, VA
National Provider Identifier
1770517757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101039097
- Practice address
- 6 East Williamsburg Road
Sandston, VA 23150 - Phone
- (804) 737-1878
- Fax
- (804) 737-0204
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101039097 | VA | Primary |
Addresses
Primary practice location
6 East Williamsburg Road
Sandston, VA 23150
Mailing address
6 East Williamsburg Road
Sandston, VA 23150
Phone (804) 737-1878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035565 | Other | VA | ANTHEM |
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 |
|---|---|---|---|
| 0101039097 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1770517757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EAST WILLIAMSBURG ROAD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "23150",
"telephone_number": "804-737-1878",
"fax_number": "804-737-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 EAST WILLIAMSBURG ROAD",
"city": "SANDSTON",
"state": "VA",
"postal_code": "23150",
"telephone_number": "804-737-1878",
"fax_number": "804-737-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKE",
"first_name": "GERALD",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101039097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "035565",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.