Active NPI
Hanover Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Hanover, PA
National Provider Identifier
1962464792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 39D0187385
- Legal business name
- HANOVER PATHOLOGY ASSOCIATES
- Practice address
- 300 Highland Ave
Hanover, PA 17331-2297 - Phone
- (814) 643-6207
- Fax
- (814) 643-6165
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesus Socrates, M.D.
- Title
- President
- Phone
- (814) 643-6207
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 39D0187385 | PA | Primary |
| Clinical Medical Laboratory | 291U00000X | 39D0187385 | PA |
Addresses
Primary practice location
300 Highland Ave
Hanover, PA 17331-2297
Mailing address
900 Bryan St
PO Box 382, Suite 2
Huntingdon, PA 16652-2413
Phone (814) 643-6207
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1962464792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BRYAN ST",
"address_2": "PO BOX 382, SUITE 2",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166522413",
"telephone_number": "814-643-6207",
"fax_number": "814-643-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HIGHLAND AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312297",
"telephone_number": "814-643-6207",
"fax_number": "814-643-6165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANOVER PATHOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "SOCRATES",
"authorized_official_first_name": "JESUS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-643-6207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "39D0187385",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "39D0187385",
"primary": false
}
],
"identifiers": [],
"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 May 6, 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.