HANOVER MEDICAL GROUP CARDIOLOGY
NPI 1790263879
Internal Medicine - Cardiovascular Disease in Hanover, PA
NPI Status: Active since August 01, 2018
Contact Information
310 STOCK ST STE 3
HANOVER, PA
ZIP 17331
Phone: (717) 637-1738
Fax: (176) 467-4307
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 39D2140807
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-18-2025
About HANOVER MEDICAL GROUP CARDIOLOGY
This page provides the complete NPI Profile along with additional information for Hanover Medical Group Cardiology, an internist established in Hanover, Pennsylvania operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1790263879 assigned on August 2018. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Hanover Medical Group Cardiology operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hanover Medical Group Cardiology. The authorized official of this NPI record is Christopher P Markley (Senior Vp)
- NPI
- 1790263879
- Provider Legal Name
- PINNACLE HEALTH MEDICAL SERVICES
- Other Organization Name
- HANOVER MEDICAL GROUP CARDIOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 310 STOCK ST STE 3 HANOVER, PA 17331
- Location Phone
- (717) 637-1738
- Location Fax
- (176) 467-4307
- Mailing Address
- 409 S 2ND ST STE 2F HARRISBURG, PA 17104
- Mailing Phone
- (717) 231-8929
- Mailing Fax
- (176) 467-4307
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2018
- Last Update Date
- 12-14-2021
- Code Navigator
An internist like Hanover Medical Group Cardiology is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 1600 6th Ave Ste 105
York, PA 17403
(717) 637-1738 - 2990 Carlisle Pike
New Oxford, PA 17350
(717) 637-1738 - 20 Expedition Trl Ste 203
Gettysburg, PA 17325
(717) 334-4455 - 2201 Brunswick Dr Ste 2200
Hanover, PA 17331
(717) 637-1738 - 425 Westminster Ave
Hanover, PA 17331
(717) 637-1738
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2140807
- Facility Type
- Physician Office
- Certificate Effective Date
- August 19, 2023
- Certificate Expiration Date
- August 18, 2025
- Laboratory Director
- DR. JAMES A. DICKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hanover Medical Group Cardiology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 2 | 6 | 3 | 8 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 4 | 6 | 6 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 4 + 6 + 6 + 8 + 1 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1790263879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497036149 | MRS. CHELSEY M GOODBROD PA-C Individual | Physician Assistant | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 316-6927 |
| 1841790748 | REBEKAH C HILL CRNP Individual | Nurse Practitioner (Acute Care) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1134100167 | DR. GREGG J REIS M.D. Individual | Internal Medicine (Interventional Cardiology) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1104961788 | BRETT D. ROBERTS MD Individual | Internal Medicine (Cardiovascular Disease) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1164612495 | BERTRAND NJUME MUKETE MD Individual | Internal Medicine (Cardiovascular Disease) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1871237594 | JAIME GARRETT KEHLER CRNP Individual | Nurse Practitioner (Family) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1710967005 | RAJIV DHAWAN MD Individual | Internal Medicine (Cardiovascular Disease) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1912628215 | BRYCE FLOYD PA-C Individual | Physician Assistant | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
| 1265116719 | CARLY WILHIDE Individual | Nurse Practitioner (Gerontology) | 310 STOCK ST STE 3 HANOVER, PA 17331 (717) 637-1738 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790263879, enumerated in the NPI registry as an "organization" on August 01, 2018
The provider is located at 310 Stock St Ste 3 Hanover, Pa 17331 and the phone number is (717) 637-1738
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider's CLIA number is 39D2140807 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 01, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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