MEDICARE: DR. HANNAH CHASON 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	LP04708	RI
2	207P00000X	Emergency Medicine Physician	342265-01	NY

General Provider Information

NPI Number	:	1215597174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH CHASON MD

Provider Business Mailing Address
First Line	:	593 EDDY ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-4923
Country	:	US
Telephone Number	:	401-444-6489
Fax Number	:	401-444-6662

Provider Business Practice Location Address
First Line	:	164 SUMMIT AVE
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02906-2853
Country	:	US
Telephone Number	:	401-793-2500
Fax Number	:

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

Provider Enumeration Date	:	06/13/2019
Last Update Date	:	04/16/2026

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