DR. JONATHAN BRENT HANCOCK (NPI# 1497048011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497048011 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BRENT HANCOCK |
| Credential | D.O. |
| Practice Address |
2300 E 30th St Ste 101 Farmington NM 87401-8990 |
| Practice Telephone | (505) 327-1400 |
| Practice Fax Number | 5055643202 |
| Mailing Telephone | (505) 327-1400 |
| Mailing Fax Number | 5055643202 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A-1965-16 | NM | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
A-1965-16 | NM | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
A-1965-16 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 27221822 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700212537 | Jonathan Daniel Hancock | Specialist/Technologist | 10655 Larchfield Ln, Dallas, TX 75238-2800 | 2013-09-25 |
| 1154552909 | Jonathan Troy Hancock | Family Medicine | Department of The Air Force, 18th Medical Group Unit 5142, Apo, AP 96368-5142 | 2009-07-28 |
| 1841734308 | Jonathan Hancock | Nurse Practitioner | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2016-12-16 |
| 1275840654 | Jonathan Scott Hancock | Chiropractor | 27454 Cashford Cir, Wesley Chapel, FL 33544-8199 | 2010-09-08 |
| 1780816223 | Jonathan Daniel Hancock | Nurse Practitioner | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2009-08-18 |
| 1326237934 | Jonathan Michael Hancock | Specialist | 1112 Finnegan Way, Bellingham, WA 98225-6622 | 2007-10-18 |
| Street Address |
2300 E 30TH ST STE 101 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215980420 | Richard Lawrence Lawton | Orthopaedic Surgery | 2300 E 30th St Ste 101, Farmington, NM 87401-8990 | 2006-05-18 |
| 1851868640 | Sitney Daniel Chogas | Physician Assistant | 2300 E 30th St Ste 101, Farmington, NM 87401-8990 | 2018-10-30 |
| 1770858102 | Ian Power | Orthopaedic Surgery | 2300 E 30th St Ste 101, Farmington, NM 87401-8990 | 2012-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336151232 | James Lee Pace | Orthopaedic Surgery | 399 Farmington Ave Ste 300, Farmington, CT 06032-1979 | 2006-08-12 |
| 1487684882 | Joseph J Caldwell | Orthopaedic Surgery | 167 Livermore Falls Rd, Farmington, ME 04938-6241 | 2006-07-03 |
| 1912935461 | Victor M Brown | Orthopaedic Surgery | 1101 Weber Road, Suite203, Farmington, MO 63640 | 2006-06-30 |
| 1215980420 | Richard Lawrence Lawton | Orthopaedic Surgery | 2300 E 30th St Ste 101, Farmington, NM 87401-8990 | 2006-05-18 |
| 1801443387 | Berkbigler Orthopaedics and Sports Specialists LLC | Orthopaedic Surgery | 606 Maple Valley Dr, Farmington, MO 63640-1976 | 2019-08-20 |
| 1689168486 | Arthur Louis Kasimer-colon | Orthopaedic Surgery | 263 Farmington Ave, Farmington, CT 06030 | 2018-06-15 |
| 1154700854 | Stephen Brandon Luczak | Orthopaedic Surgery | 263 Farmington Ave., Farmington, CT 06030-4037 | 2015-05-27 |
| 1568860641 | Parkcrest Orthopedics LLC | Orthopaedic Surgery | 508 W Pine St, Farmington, MO 63640-1426 | 2014-12-05 |
| 1972915072 | Zachary Cavanaugh | Orthopaedic Surgery | 263 Farmington Ave, Marb Mc 4037, Farmington, CT 06032-1956 | 2014-05-22 |
| 1144664715 | Olga Solovyova | Orthopaedic Surgery | 263 Farmington Avenue, Farmington, CT 06030 | 2013-04-25 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.