Active NPI
Jesus U. Socrates, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Hanover, PA
National Provider Identifier
1861476665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD037188L
- Practice address
- 300 Highland Ave
Hanover Hospital
Hanover, PA 17331 - Phone
- (814) 643-6207
- NPI assigned
- Dec 5, 2005
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD037188L | PA | Primary |
Addresses
Primary practice location
300 Highland Ave
Hanover Hospital
Hanover, PA 17331
Mailing address
PO Box 382
Huntingdon, PA 16652-0382
Phone (814) 643-6207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009541540005 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gettysburg Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1861476665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166520382",
"telephone_number": "814-643-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HIGHLAND AVE",
"address_2": "HANOVER HOSPITAL",
"city": "HANOVER",
"state": "PA",
"postal_code": "17331",
"telephone_number": "814-643-6207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCRATES",
"first_name": "JESUS",
"middle_name": "U.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD037188L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009541540005",
"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 Apr 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.