DR. ROGER A. HINE (NPI# 1124071121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124071121 |
| Entity Type | Individual |
| Full Name | DR. ROGER A. HINE |
| Credential | M.D. |
| Practice Address |
300 Willow St Lebanon PA 17046-4871 |
| Practice Telephone | 7172738835 |
| Mailing Telephone | 7172738835 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD065985L | PA | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD065985L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100774032 | 05 |
| Street Address |
300 WILLOW ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17046-4871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149103 | Chang Wha Oh | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2005-07-22 |
| 1558995241 | Cyrenne Ortega | Counselor | 300 Willow St, Lebanon, PA 17046-4871 | 2020-03-03 |
| 1477101822 | Family First Health Corporation | Clinic/Center | 300 Willow St, Lebanon, PA 17046-4871 | 2019-08-29 |
| 1023483047 | Jennifer Anne Weaver | Registered Nurse | 300 Willow St, Lebanon, PA 17046-4871 | 2015-12-02 |
| 1013103738 | Erum Azhar | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2007-09-16 |
| 1356557532 | Jilian G White | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2007-05-15 |
| 1356397046 | Samuel F. Paterniti | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2006-05-25 |
| 1740236579 | David P. Clark | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2006-05-25 |
| 1033162151 | Maryanne T. Mclaughlin | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2006-05-18 |
| 1275585093 | James Creighton Christman | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1053656033 | Jessica L Hoffman | Nutritionist | 4053 Church Hill Road, Lebanon, PA 17046 | 2012-12-03 |
| 1568772135 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 400 Narrows Drive, Lebanon, PA 17046 | 2010-10-18 |
| 1336213024 | William Lee Huffman | Optometrist | 40 N 8th St, Lebanon, PA 17046 | 2006-11-17 |
| 1366534620 | Pennsylvania Counseling Services Inc | Counselor | 200 N 7th St., Lebanon, PA 17046 | 2006-09-28 |
| 1922106541 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 833 Bowman St The Promenade At Lebanon E, Lebanon, PA 17046 | 2006-09-20 |
| 1457360471 | Lebanon Oncology & Hematology Assoc. | Internal Medicine | 4th & Willow St, Hyman S Caplan Pavilion, Lebanon, PA 17046 | 2006-08-07 |
| 1942218987 | Craig M Wilson | Chiropractor | 624 N Ninth Street, Family Care Chiropractic, Lebanon, PA 17046 | 2006-08-04 |
| 1477575975 | John I Shearer | Counselor | 1560 Jody Ave, Lebanon, PA 17046 | 2006-07-24 |
| 1316921950 | Deborah J Thomas | Counselor | 408 N 15th Ave, Lebanon, PA 17046 | 2005-12-06 |
| Find all providers in zip 17046 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972922128 | Christine I Kansky | Obstetrics & Gynecology | 915 Old Fern Hill Rd Ste D600, West Chester, PA 19380-3421 | 2014-04-15 |
| 1386896405 | Carl A Lam | Obstetrics & Gynecology | 2743 Coventry Cir, Allentown, PA 18103-9271 | 2008-10-21 |
| 1831390095 | Leah Eboso Ahoya | Obstetrics & Gynecology | 130 Connecticut Ave, Sinking Spring, PA 19608-8616 | 2007-05-29 |
| 1720297047 | Hak R Kim | Obstetrics & Gynecology | 1205 Langhorne Newtown Road, Langhorne, PA 19047-1201 | 2007-05-22 |
| 1629290275 | Complete Womens Care PC | Obstetrics & Gynecology | 1650 Hungtondon Pike, Meadowbrook, PA 19046 | 2007-05-03 |
| 1780603837 | Susquehanna Physician Services | Obstetrics & Gynecology | 2134 W 4th St, Williamsport, PA 17701-4344 | 2006-07-19 |
| 1538188487 | Norman G. Rosenblum | Obstetrics & Gynecology | 100 E Lancaster Ave Ste 661, Wynnewood, PA 19096 | 2006-07-19 |
| 1336178615 | Bettina Marie Ellsworth | Obstetrics & Gynecology | 993 Long Ln, Gettysburg, PA 17325-2920 | 2006-06-30 |
| 1386270767 | Madison Christine Rice | Obstetrics & Gynecology | 300 Halket St, Pittsburgh, PA 15213-3108 | 2020-03-18 |
| 1578109716 | Pinnacle Health Medical Services | Obstetrics & Gynecology | 18 North St, Hanover, PA 17331-2275 | 2019-11-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.