JUSTIN DWAIN HANCOCK (NPI# 1235415175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235415175 |
| Entity Type | Individual |
| Full Name | JUSTIN DWAIN HANCOCK |
| Credential | PA-C |
| Practice Address |
1201 Hewitt Dr Sutie 203 Waco TX 76712-8833 |
| Mailing Address |
3201 University Dr E Ste 135 Bryan TX 77802-3481 |
| Practice Telephone | 2546663627 |
| Practice Fax Number | 2547326125 |
| Mailing Telephone | 2543664247 |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 HEWITT DR SUTIE 203 |
| City | WACO |
| State | TX |
| Zip Code | 76712-8833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205840238 | Daniel F Akers | Emergency Medicine | 1201 Hewitt Dr, Suite 203, Waco, TX 76712-8833 | 2006-07-27 |
| 1508139197 | Select Physical Therapy Texas Limited Partnership | Durable Medical Equipment & Medical Supplies | 1201 Hewitt Dr, Stuie 202, Waco, TX 76712-8833 | 2012-02-14 |
| 1871806356 | Select Physical Therapy Holdings Inc | Clinic/Center | 1201 Hewitt Dr, Number 203, Waco, TX 76712-8833 | 2010-07-26 |
| 1417101171 | Central Texas Urgent Care P.a. | Emergency Medicine | 1201 Hewitt Dr, 203, Waco, TX 76712-8833 | 2008-11-07 |
| 1326213760 | Amanda Simpson | Occupational Therapist | 1201 Hewitt Dr, Suite 202, Waco, TX 76712-8833 | 2008-04-28 |
| 1962677807 | Aristotle K. Manda | Physical Therapist | 1201 Hewitt Dr, Suite 202, Waco, TX 76712-8833 | 2008-04-22 |
| 1740339258 | Cynthia L Thygesen | Registered Nurse | 1201 Hewitt Dr, Suite 203b, Waco, TX 76712-8833 | 2007-01-10 |
| 1003928060 | Foy Edward Dark IIi | Emergency Medicine | 1201 Hewitt Dr, Suite 203, Waco, TX 76712-8833 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245871052 | Elizabeth Leverson | Physician Assistant | 3912 Austin Ave, Waco, TX 76710-7127 | 2019-10-02 |
| 1063763225 | Jamie Lynn Laird | Physician Assistant | 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 | 2012-09-27 |
| 1215116652 | Michael Paul Fichter Jr. | Physician Assistant | 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 | 2007-11-02 |
| 1710090170 | Anthony B Balchunas | Physician Assistant | 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 | 2006-08-17 |
| 1902814544 | Fara Lynn Crawford | Physician Assistant | 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | 2006-08-03 |
| 1316966286 | Donald Eugene Hicks | Physician Assistant | 4205 Franklin Ave, Waco, TX 76710 | 2006-07-19 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| 1073577953 | Richard James Hecker | Physician Assistant | 1226 Washington Ave, Waco, TX 76701-1127 | 2006-04-17 |
| 1669448718 | Patricia Ann Goaley | Physician Assistant | 1445 Stillwater Rd, Waco, TX 76708-7612 | 2006-02-28 |
| 1992771927 | Ashley Glover Baker | Physician Assistant | 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 | 2006-02-28 |
| Find all providers in WACO | ||||
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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.