DR. AVI HAMEROFF (NPI# 1881091619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881091619 |
| Entity Type | Individual |
| Full Name | DR. AVI HAMEROFF |
| Credential | M.D. |
| Practice Address |
35 Hope Dr Suites 202/ 204 Hershey PA 17033-2086 |
| Mailing Address |
Po Box 858 Mc A410 Hershey PA 17033-0858 |
| Practice Telephone | 7175313503 |
| Practice Fax Number | 7175314375 |
| Mailing Telephone | (800) 243-1455 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD460270 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1032962050001 | 05 | |
| PA | MEDICARE | 575484 | 01 |
| Street Address |
35 HOPE DR SUITES 202/ 204 |
| City | HERSHEY |
| State | PA |
| Zip Code | 17033-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427042241 | Susan J Evitts | Nurse Practitioner | 35 Hope Dr, Hershey, PA 17033-2086 | 2005-09-08 |
| 1881062974 | Susan Rzucidlo | Nurse Practitioner | 35 Hope Dr, Hershey, PA 17033-2086 | 2015-09-08 |
| 1922412253 | Lucy Liu | Obstetrics & Gynecology | 35 Hope Dr, Suite 202/204, Hershey, PA 17033 | 2014-06-14 |
| 1437412186 | Sona K Jasani | Obstetrics & Gynecology | 35 Hope Dr, Suites 202/204, Hershey, PA 17033 | 2012-06-18 |
| 1629330162 | Amy Thomas Cruz | Obstetrics & Gynecology | 35 Hope Dr, Suite 202/204, Hershey, PA 17033 | 2012-06-11 |
| 1629362561 | Tonya S Wright | Obstetrics & Gynecology | 35 Hope Dr, Hershey, PA 17033-2086 | 2011-06-08 |
| 1659691301 | Sarah L Juza | Obstetrics & Gynecology | 35 Hope Dr, Hershey, PA 17033-2086 | 2010-06-04 |
| 1063740314 | Ellen Harris | Nurse Practitioner | 35 Hope Dr, Hershey, PA 17033 | 2009-11-25 |
| 1366648024 | Deepa Lakshmi Sekhar | Pediatrics | 35 Hope Dr, Suite 102, Hershey, PA 17033-2086 | 2007-06-21 |
| 1063469385 | Kelly L Thrush | Nurse Practitioner | 35 Hope Dr, Hershey, PA 17033-2086 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891264578 | Sherpa Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 20 Briarcrest Square, Suite 207, Hershey, PA 17033 | 2018-11-25 |
| 1366933186 | Benjamin Abney | General Practice | Hershey Medical Center, 500 University Drive, Hershey, PA 17033 | 2018-05-29 |
| 1174014062 | Sean Nutting | Student in an Organized Health Care Education/Training Program | 500 University Dr Dept Of, Hershey, PA 17033 | 2018-05-25 |
| 1447751144 | Elizabeth Ashley Lohman | Specialist/Technologist | 665 Brook Drive, Hershey, PA 17033 | 2018-02-27 |
| 1376056382 | Yilmarie Mercado Vargas | Student in an Organized Health Care Education/Training Program | Penn State Health Milton Hershey Medical Center, 500 University Dr, Hershey, PA 17033 | 2017-11-13 |
| 1730603440 | Aleksandr Sviatchenko | Student in an Organized Health Care Education/Training Program | Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, Pa, PA 17033 | 2017-08-03 |
| 1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
| 1649706649 | Natalia Katarzyna Pierwola-gawin | Physical Therapist | 500 University Dr. Mc A410, Hershey, PA 17033 | 2017-05-11 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1437505096 | Lynnlee Christine Depicolzuane | Pediatrics | 600 University Drive, Hershey, PA 17033 | 2016-05-12 |
| Find all providers in zip 17033 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003042680 | Kristin A Riley | Obstetrics & Gynecology | 35 Hope Dr Ste 202204, Hershey, PA 17033-2008 | 2009-06-09 |
| 1780175430 | Jacqueline Bissonette | Obstetrics & Gynecology | 500 University Dr, Hershey, PA 17033-2360 | 2018-05-29 |
| 1982053831 | Kristie H Lou | Obstetrics & Gynecology | 500 University Dr, Hershey, PA 17033-2360 | 2016-06-10 |
| 1285095117 | Linda Jie Li | Obstetrics & Gynecology | 35 Hope Drive, Suites 202 & 204, Hershey, PA 17033-2086 | 2016-03-20 |
| 1558757047 | Jaclyn Mirault | Obstetrics & Gynecology | 35 Hope Drive, Suites 202/204, Hershey, PA 17033-2086 | 2015-04-10 |
| 1235523416 | Amanda Lee-ying Chu | Obstetrics & Gynecology | 35 Hope Drive, Suite 202/204, Hershey, PA 17033-2036 | 2015-03-25 |
| 1922412253 | Lucy Liu | Obstetrics & Gynecology | 35 Hope Dr, Suite 202/204, Hershey, PA 17033 | 2014-06-14 |
| 1720422926 | Maureen Elizabeth Roberts | Obstetrics & Gynecology | 35 Hope Drive, Suite 202/204, Hershey, PA 17033-2086 | 2013-04-18 |
| 1437412186 | Sona K Jasani | Obstetrics & Gynecology | 35 Hope Dr, Suites 202/204, Hershey, PA 17033 | 2012-06-18 |
| 1629330162 | Amy Thomas Cruz | Obstetrics & Gynecology | 35 Hope Dr, Suite 202/204, Hershey, PA 17033 | 2012-06-11 |
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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.