Eric Nathaniel Hawk, BOC ORTHOTIST

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

4954 N Palmer Rd RM 1501
Bethesda, MD 20889-5620

Phone

(301) 295-4866

NPI assigned

Nov 21, 2022

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1972212785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD RM 1501",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895620",
            "telephone_number": "301-295-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD RM 1501",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895620",
            "telephone_number": "301-295-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "ERIC",
        "middle_name": "NATHANIEL",
        "credential": "BOC ORTHOTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION IN ORTHOTICS AND PROSTHETICS",
            "identifier": "C51653",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.n.hawk.civ@health.mail",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4954 N Palmer Rd Rm 1501",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208895620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Hatfield, SLP
• Nathanael Edward Hathaway, M.D.
• Dietrich Haubenberger, M.D.
• Laura Havard, LCSW-C
• Douglas Grant Hawk, M.D.
• James Mark Hawkins, DDS
• Christopher Doyle Hawks, MSW, LCSW-C
• Deerricka Hawks
• Jason S Hawley, M.D.
• Susan Lynn Hawley, MD

• Orthotist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Orthotist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.