MEDICARE: STEVEN C HAMEL 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	207T00000X	Neurological Surgery Physician	MD16226	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4075048	OTHER	TN	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	TN01R5	OTHER	TN	JOHN DEERE

General Provider Information

NPI Number	:	1770549453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C HAMEL MD

Provider Business Mailing Address
First Line	:	408 N STATE OF FRANKLIN RD
Second Line	:	SUITE 42
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-6089
Country	:	US
Telephone Number	:	423-975-2350
Fax Number	:	423-975-2372

Provider Business Practice Location Address
First Line	:	408 N STATE OF FRANKLIN RD
Second Line	:	SUITE 42
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-6089
Country	:	US
Telephone Number	:	423-975-2350
Fax Number	:	423-975-2372

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

Provider Enumeration Date	:	04/22/2006
Last Update Date	:	01/21/2010

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Directions to “ STEVEN C HAMEL MD” Practice Location

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