Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD066795L | PA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD066795L | PA |
NPI | 1245222926 |
---|---|
Provider Name | Gregor M Hawk |
First Address | Boston, MA 02284-8269 |
Second Address | Allentown, PA 18106-9168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 16/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017300300001 | (05) | PA |
01199301 | BLUE CROSS (01) | PA |
0205486000 | KEYSTONE EAST (01) | PA |
029216 | AMERIHEALTH ADMIN (01) | PA |
029216 | BLUE SHIELD (01) | PA |
029216 | KEYSTONE CENTRAL (01) | PA |
200035470 | RAILROAD MEDICARE (01) | PA |
53818 | GEISINGER (01) | PA |
5667638001 | CIGNA (01) | PA |
5822550 | AETNA (01) | PA |
821243 | FIRST PRIORITY HEALTH (01) | |
G51035 | (02) | PA |
P1965619 | OXFORD (01) | PA |