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NPI Code Detail

MEDICARE: JOHN T HANNA MD

MEDICARE: JOHN T HANNA 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
1207Q00000XFamily Medicine PhysicianDR.0062503CO
2207Q00000XFamily Medicine Physician35055568OH

Other Identifiers

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

General Provider Information

NPI Number : 1316921109
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN T HANNA MD
Provider Business Mailing Address
First Line : 5400 FRANTZ RD
Second Line : SUITE 250
City : DUBLIN
State : OH
Zip : 43016-4144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1590 CRESTVIEW DR STE B
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3560
Country : US
Telephone Number : 419-651-6880
Fax Number : 567-241-7503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 08/02/2019

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