Vernon H Preston, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD025485E Issued in PA

Practice address

100 Frederick St
Suite 101
Hanover, PA 17331-3506

Phone

(717) 851-7050

Fax

(717) 632-7478

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hanover Family Practice Associates, LLC

  • Family Medicine Physician
  • Hanover, PA
  • NPI 1235197104
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1952300741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MOUNT ROSE AVE",
            "address_2": "SUITE B3",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033026",
            "telephone_number": "717-851-1405",
            "fax_number": "717-632-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FREDERICK ST",
            "address_2": "SUITE 101",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313506",
            "telephone_number": "717-851-7050",
            "fax_number": "717-632-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "VERNON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD025485E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P002328",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904288",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "068380",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WMG",
            "identifier": "30112631",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Poleno, LCSW-C
• Kevin Polifko, PHARMACIST
• Matthew Adam Posner, MD
• Premise Health of Pennsylvania Medical PC (Snyders - Hanover)
• Premise Health of Pennsylvania Medical PC (Homewood - Hanover)
• Progressive Dental Care Center
• Terri A Prowell, CRNP
• Jessica Ann Quiggle, PA-C
• R Eric Mathews, M.D.
• Rachel Lynne Ramos, MA ATR-BC LPC

• Family Medicine Physician in Hanover, PA
• Providers in Hanover, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.