JOHN A HANCOCK (NPI# 1063909398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063909398 |
| Entity Type | Individual |
| Full Name | JOHN A HANCOCK |
| Credential | CRNP, AGNP-C |
| Practice Address |
9715 Healthway Dr Berlin MD 21811-3500 |
| Mailing Address |
Po Box 3177 Salisbury MD 21802-3177 |
| Practice Telephone | 4105482343 |
| Practice Fax Number | 8443323891 |
| Mailing Telephone | 4105482343 |
| Mailing Fax Number | 8443323891 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | LP-0010374 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | R193259 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R193259 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Time Sq, Salisbury, MD 218012808 | 4105482343 | 8443323891 |
| 231 S Washington St, Millsboro, DE 199661236 | 4105482343 | 8443323891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183414 | John Hancock | Counselor | 1405 Cypress St, Longview, WA 98632-1533 | 2015-01-05 |
| 1215419973 | John Hancock | Occupational Therapist | 2125 Royce St, Portsmouth, OH 45662-4714 | 2018-08-29 |
| 1942787130 | John David Hancock Jr. | Counselor | 7593 Tylers Place Blvd, West Chester, OH 45069-6308 | 2018-07-20 |
| 1104239409 | John Matthew Hancock | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-04 |
| 1073937454 | John Hancock | Registered Nurse | 9901 Medical Center Dr, Rockville, MD 20850-3357 | 2014-02-06 |
| 1083997308 | John William Hancock | Pharmacist | 9 N State St, North Vernon, IN 47265-1723 | 2011-09-22 |
| 1013143015 | John Austin Hancock | Radiology | 1515 Holcombe Blvd, Department of Interventional Radiology, Unit 1471, Houston, TX 77030-4000 | 2009-06-03 |
| 1790930352 | John Christopher Hancock | Internal Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2008-11-24 |
| 1487860755 | John Thomas Hancock | Dentist | 1590 Nw 10th Ave, Suite 303, Boca Raton, FL 33486-1313 | 2007-05-15 |
| 1942365671 | John E Hancock | Psychologist | 0615 Sw Palatine Hill Rd, Lewis and Clark College Msc 135, Portland, OR 97219-7879 | 2006-12-22 |
| Street Address |
9715 HEALTHWAY DR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275503997 | Jeffrey Kent Zibell | Internal Medicine | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2006-01-25 |
| 1104472729 | Lee Anne Krystle Rico Chan | Occupational Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2019-08-11 |
| 1508399940 | Berlin Health Care LLC | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2017-04-04 |
| 1861947913 | Berlin Health Care LLC | Skilled Nursing Facility | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-08-18 |
| 1659826816 | Laura Elizabeth Emerson | Speech-Language Pathologist | 9715 Healthway Dr, Berlin, MD 21811 | 2016-08-17 |
| 1205288651 | Mia Catherine Darbenzio | Specialist/Technologist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2016-07-11 |
| 1699191676 | Karen Vito | Physical Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-13 |
| 1033535232 | Karen J Holmes | Occupational Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-12 |
| 1093131658 | Aimee Barnes | Physical Therapist | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-06 |
| 1063837797 | Jessica Spencer | Physical Therapy Assistant | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2014-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550116 | Karen Gibbs | Nurse Practitioner | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2020-05-26 |
| 1386280121 | Jennifer M Wilcox | Nurse Practitioner | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-11-26 |
| 1952963274 | Anne Brereton | Nurse Practitioner | 1311 Barre-montpelier Road, Berlin, VT 05602 | 2019-07-08 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1962656496 | Company Care Center | Nurse Practitioner | 4900 Oak Street, Berlin, OH 44610 | 2008-11-11 |
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| 1225653611 | Zynith Health Care & Associates | Nurse Practitioner | 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 | 2020-06-11 |
| 1124640974 | Liberty Family Care | Nurse Practitioner | 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 | 2020-05-15 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
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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.