HANOVER FAMILY PRACTICE ASSOCIATES, LLC
NPI 1235197104
Family Medicine in Hanover, PA

Active since May 02, 2006CLIA Certified · 3 labs
111 PENN ST, HANOVER, PA 17331(717) 632-4449 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hanover Family Practice Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANOVER FAMILY PRACTICE ASSOCIATES, LLC (NPI 1235197104) is a healthcare organization registered as a family medicine in Hanover, Pennsylvania and active in the NPI registry since May 2006. The organization holds 3 active CLIA laboratory certificates and lists Julie Moul, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1235197104
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHANOVER FAMILY PRACTICE ASSOCIATES, LLC
Location Address111 PENN STHanover, PA 17331-1929
Mailing Address111 Penn StHanover, PA 17331-1929 · (717) 632-4449
Organization SubpartNo
Authorized OfficialJulie MoulPractice Administrator · (717) 632-0774
Enumeration DateMay 2, 2006
Last NPPES UpdateFebruary 3, 2009
NPI 1235197104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 PENN ST, Hanover, PA 17331

Other Identifiers 10

Other02307000PA · Blue Cross
Medicare ID-Type Unspecified827916PA
Other1520197PA · Gateway
Medicaid1007518240013PA
Other182943PA · Health America/ Assurance
Other238893PA · Mamsi
OtherCC6198PA · Palmetto
Other0859603000PA · Independance Blue Cross
Other5337129PA · Aetna
Other827916PA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0187384

Hanover Family Practice Associates · Hanover, PA
Active · expires Aug 12, 2027
CLIA Number39D0187384
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorMaureen Eisenberg Do
Laboratory Phone(717) 632-0774
Laboratory LocationHanover Family Practice Associates111 Penn Street, Hanover, PA 17331
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0187367

Hanover Family Practice Assoc · Hanover, PA
Active · expires Sep 24, 2027
CLIA Number39D0187367
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDr. Robert J. Henke Jr
Laboratory Phone(717) 632-0774
Laboratory LocationHanover Family Practice Assoc848 Broadway, Hanover, PA 17331
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0675924

Hanover Family Practice Associates · Hanover, PA
Active · expires Dec 21, 2027
CLIA Number39D0675924
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorJohn W. Lunsford
Laboratory Phone(717) 637-7812
Laboratory LocationHanover Family Practice Associates112 Clover Lane, Hanover, PA 17331
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
111 PENN ST
HANOVER, PA 17331
Physician Assistant (Medical)
111 PENN ST
HANOVER, PA 17331
Family Medicine
111 PENN ST
HANOVER, PA 17331
Nurse Practitioner (Adult Health)
111 PENN ST
HANOVER, PA 17331

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 Hanover Family Practice Associates, LLC's NPI number?

The NPI number for Hanover Family Practice Associates, LLC is 1235197104. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Hanover Family Practice Associates, LLC located?

Hanover Family Practice Associates, LLC is located at 111 Penn St, Hanover, PA 17331. The listed phone number is (717) 632-4449.

What is Hanover Family Practice Associates, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hanover Family Practice Associates, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Hanover Family Practice Associates, LLC was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.