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1154316297

NPI Code Detail

MEDICARE: JOHN CLARKE HANKEY MD

MEDICARE: JOHN CLARKE HANKEY MD

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	MD022336E	PA
2	207P00000X	Emergency Medicine Physician	G44961	CA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154316297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CLARKE HANKEY MD

Provider Business Mailing Address
First Line	:	912 TUCANA DR
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-2827
Country	:	US
Telephone Number	:	412-708-3996
Fax Number	:

Provider Business Practice Location Address
First Line	:	29101 HOSPITAL RD
Second Line	:	EMERGENCY MEDICINE MOUNTAIN COMMUNITY HOSPITAL
City	:	LAKE ARROWHEAD
State	:	CA
Zip	:	92352-9706
Country	:	US
Telephone Number	:	909-336-3651
Fax Number	:

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	05/19/2016

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Directions to “ JOHN CLARKE HANKEY MD” Practice Location

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