Provider Demographics
NPI:1003888504
Name:GREGORY, HUGH HANCOCK
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:HANCOCK
Last Name:GREGORY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2212
Mailing Address - Fax:717-741-3784
Practice Address - Street 1:55 MONUMENT RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5023
Practice Address - Country:US
Practice Address - Phone:717-812-2212
Practice Address - Fax:717-741-3784
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031884174400000X
PAMD443844208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1601512OtherGATEWAY
PA102641706Medicaid
PA1348094OtherHIGHMARK BLUE SHIELD
PA30107010OtherAMERIHEALTH MERCY
PA417518OtherUPMC
PA1601512OtherGATEWAY
PA1348094OtherHIGHMARK BLUE SHIELD