Active NPI
Susan Marie Hancock, M.D.
- Vascular Surgery Physician
- Newport News, VA
National Provider Identifier
1942491790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 0101242791
- Practice address
- 603 Pilot House Dr
Ste 240
Newport News, VA 23606-1904 - Phone
- (910) 612-5118
- Fax
- (757) 873-0246
- NPI assigned
- Aug 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101242791 | VA | Primary |
Addresses
Primary practice location
603 Pilot House Dr
Ste 240
Newport News, VA 23606-1904
Mailing address
119 James Landing Rd
Newport News, VA 23606-2052
Phone (910) 612-5118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942491790 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1942491790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 JAMES LANDING RD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062052",
"telephone_number": "910-612-5118",
"fax_number": "757-873-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 PILOT HOUSE DR",
"address_2": "STE 240",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061904",
"telephone_number": "910-612-5118",
"fax_number": "757-873-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2022-09-14",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101242791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942491790",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
- Hampton Roads Orthopaedic & Sports Medicine LLC
- Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
- Hampton Roads Urgent Care, PLLC
- Hancock Vein & Surgical Center PC
- Cailin Hancock
- Hand Rehabilitation of Hampton Roads, Inc
- Hand Rehabilitation of Virginia LLC
- Hand to Hand LLC
- Hand to Hand VA
- Handling With Care Therapy Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.