HANOVER PEDIATRICS (NPI# 1669907929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669907929 |
Entity Type | Organization |
Organization Name | HANOVER PEDIATRICS |
Practice Address |
5032 Crown Point Ln Wilmington NC 28409-3298 |
Practice Telephone | 9106202259 |
Mailing Telephone | 9106202259 |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |
Authorized Official Name | DR. HOKE WARD POLLOCK (MANAGING MEMBER) |
Authorized Official Telephone | 9106202259 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
200401564 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1396721858 | 05 |
Street Address |
5032 CROWN POINT LN |
City | WILMINGTON |
State | NC |
Zip Code | 28409-3298 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
Find all providers in zip 28409 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
1710334503 | Odibo Medical Group Pllc | Clinic/Center | 508 John S Mosby Dr, Wilmington, NC 28412-7121 | 2016-05-21 |
1366852519 | Bw Family Medical Center | Clinic/Center | 404 Clayton Ave, Wilmington, DE 19809-1413 | 2014-04-28 |
1568808376 | Healthworks Med Group of Delaware P A | Clinic/Center | 802 Delaware Ave, Wilmington, DE 19801-1377 | 2013-05-20 |
1306109251 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 131 W Anaheim St, Wilmington, CA 90744-4416 | 2012-06-15 |
1750541322 | Sea Breeze Health Center Inc | Clinic/Center | 123 E F St Unit F, Wilmington, CA 90744-5817 | 2008-06-16 |
1457437832 | Singson Medical Group Pa | Clinic/Center | 1021 Gilpin Avenue, Suite 104, Wilmington, DE 19806 | 2006-10-28 |
1932194586 | Wilmington Community Clinic | Clinic/Center | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2005-09-20 |
1285191494 | Precision Care & Wellness, LLC | Clinic/Center | 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 | 2019-02-24 |
1861925042 | Southbridge Medical Advisory Council, Inc. | Clinic/Center | 1100 S Broom St, Wilmington, DE 19805-4585 | 2017-04-05 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28409 |
Please comment or provide details below to improve the information on HANOVER PEDIATRICS.
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.