Robert Hancock, MD
Individual provider Active NPI Emergency Medicine Physician · Lodi, OH
NPI 1821039967 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1821039967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35065902 (OH)
- Practice address
- 225 Elyria St
Lodi, OH 44254-1031 - Phone
- (330) 493-4443
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060726000147 | OH | Practitioner - Emergency Medicine | 1052324696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35065902 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Emergency Medicine Physicians of Richland County, LTD | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Guernsey County, LTD | Emergency Medicine | Past | Accepting new patients |
| Acute Care Specialists, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Medina County, LTD | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Barberton, LTD | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Cuyahoga County, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- rhancock230559@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35065902 | OH | Yes |
Addresses
Primary practice location
225 Elyria St
Lodi, OH 44254-1031
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2214115 | Medicaid | OH |
Other providers in Lodi, OH
- Shelly Forbes
- Friendlylifts LLC
- Tonia Grabowski
- Halle Shannen Gray-Plute
- Samantha Grzybowski
- Carla Hillwig
- Heidi Mae Hinderman
- Janelle Gene Hodges
- Yvonne Huffman
- Mary Lee Jansen
All providers in Lodi, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.