Hancock Vein & Surgical Center PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0101242791 Issued in VA

Legal business name

HANCOCK VEIN & SURGICAL CENTER PC

Practice address

603 Pilot House Dr
Ste 240
Newport News, VA 23606

Phone

(757) 873-0138

Fax

(757) 873-0246

NPI assigned

Feb 25, 2011

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Marie Hancock, MDNPI 1942491790

Title

President

Phone

(910) 612-5118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Marie Hancock, M.D.

  • Vascular Surgery Physician
  • Newport News, VA
  • NPI 1942491790
  Authorized official Same address or phone

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1962709048",
    "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": "23606",
            "telephone_number": "757-873-0138",
            "fax_number": "757-873-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK VEIN & SURGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-612-5118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

• Hampton Roads Orthopaedic & Sports Medicine LLC (HROSM Interventional Spine & Sports Institute)
• Hampton Roads Orthopaedic & Sports Medicine LLC
• Hampton Roads Orthopaedic & Sports Medicine LLC
• Hampton Roads Pediatric Dentistry and Orthodontics, PLLC
• Hampton Roads Urgent Care, PLLC
• Cailin Hancock
• Susan Marie Hancock, M.D.
• Hand Rehabilitation of Hampton Roads, Inc
• Hand Rehabilitation of Virginia LLC
• Hand to Hand LLC

• Vascular Surgery Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.