MEDICARE: PATRICK J HANLEY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	OS007118L	PA
2	207R00000X	Internal Medicine Physician	OS-007118-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104802651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK J HANLEY DO

Provider Business Mailing Address
First Line	:	1122 NORTH ST
Second Line	:
City	:	JIM THORPE
State	:	PA
Zip	:	18229-1717
Country	:	US
Telephone Number	:	272-639-5450
Fax Number	:	272-639-5450

Provider Business Practice Location Address
First Line	:	1122 NORTH ST
Second Line	:
City	:	JIM THORPE
State	:	PA
Zip	:	18229-1717
Country	:	US
Telephone Number	:	272-639-5450
Fax Number	:	272-639-5451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	06/03/2026

Similar Medicare Providers

1407870868 — CHANDRA S K REDDY MD
Practice Location Address:

1104 NORTH ST
JIM THORPE, PA
18229-1717

Practice Phone: 610-954-1735
Practice Fax: 610-954-2429

1033229315 — DR. CLEMENT CHARLES MCGINLEY M. D.
Practice Location Address:

1104 NORTH ST
JIM THORPE, PA
18229-1717

Practice Phone: 570-325-2400
Practice Fax: 570-325-7601

1306918297 — ST. LUKE'S HOSPITAL
Practice Location Address:

1104 NORTH ST
JIM THORPE, PA
18229-1717

Practice Phone: 570-325-2400
Practice Fax:

1275863839 — DARYL J GORDON CRNP
Practice Location Address:

1122 NORTH ST
JIM THORPE, PA
18229-1717

Practice Phone: 484-526-6545
Practice Fax:

1336872597 — ST LUKE'S PHYSICIAN GROUP, INC
Practice Location Address:

1122 NORTH ST
JIM THORPE, PA
18229-1717

Practice Phone: 570-645-1945
Practice Fax:

1891661310 — ELLA HASSON
Practice Location Address:

1122 NORTH ST
JIM THORPE, PA
18229-1717

Practice Phone: 272-639-5450
Practice Fax:

Directions to “ PATRICK J HANLEY DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.