{"npi":"1609806470","type":"NPI-2","status":"active","name":{"display":"Hancock Physician Network, LLC","other":[],"organization_name":"HANCOCK PHYSICIAN NETWORK, LLC","authorised_official":"Brian Muckerheide"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"IN","license":"70000074A"},{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"IN","license":"28075482A"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":null,"license":null},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":false,"state":null,"license":null},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":null,"license":null},{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":null,"license":null},{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":null,"license":null},{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":false,"state":"IN","license":"01061823A"},{"code":"208600000X","description":"Surgery","primary":false,"state":"IN","license":"01062448A"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"IN","license":"01064501A"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"IN","license":"01052168A"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"156 W MUSKEGON DR","city":"GREENFIELD","state":"IN","postal_code":"461403069","country_code":"US","phone":"3174686260","fax":"3174686267"},{"purpose":"MAILING","street_1":"PO BOX 129","city":"GREENFIELD","state":"IN","postal_code":"461400129","country_code":"US","phone":"3174686270","fax":"3174686268"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"200311740D","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"200841490","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"200853260","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"01061823A","state":"IN","issuer":"LICENSE NUMBER"},{"type_code":"01","label":"Other","value":"01061823B","state":"IN","issuer":"CSR NUMBER"},{"type_code":"01","label":"Other","value":"1982757373","state":"IN","issuer":"NPI  NUMBER"},{"type_code":"05","label":"Medicaid","value":"200311740","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"111401698","state":"IN","issuer":"NPI  NUMBER"},{"type_code":"01","label":"Other","value":"1467485003","state":"IN","issuer":"NPI  NUMBER"},{"type_code":"01","label":"Other","value":"1548272289","state":"IN","issuer":"NPI NIMBER"},{"type_code":"01","label":"Other","value":"000000493483","state":"IN","issuer":"ANTHEM PIN NUMBER"},{"type_code":"01","label":"Other","value":"01062448A","state":"IN","issuer":"LICENSE NUMBER"},{"type_code":"01","label":"Other","value":"208M00000X","state":"IN","issuer":"HOSPITALIST"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040130000777","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"8325952633"}]},"enumeration_date":"2006-07-04","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}