THERON JAY HAWKS DO
NPI 1083554414
Student in an Organized Health Care Education/Training Program in Hershey, PA
About Theron Jay Hawks Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERON JAY HAWKS DO (NPI 1083554414) is an individual student in an organized health care education/training program in Hershey, Pennsylvania and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theron Jay Hawks Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theron Hawks's NPI number?
The NPI number for Theron Hawks is 1083554414. It was assigned to this individual provider in the NPPES registry on March 28, 2026.
Where is Theron Hawks located?
Theron Hawks practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8521.
What is Theron Hawks's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Theron Hawks enrolled in Medicare?
Yes. Theron Hawks is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Theron Hawks was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theron Jay Hawks, DO · NPI 1083554414
Student in an Organized Health Care Education/Training Program provider in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 28, 2026.
## Identity
- **NPI:** 1083554414 (Entity type: Individual)
- **Enumerated:** March 28, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 500 UNIVERSITY DR, Hershey, PA 17033-2360
- **Phone:** (717) 531-8521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083554414) · Data from the CMS NPPES public registry.