MEDICARE: HANNAH BARNARD 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	2085R0202X	Diagnostic Radiology Physician	35141430	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	57.026373	OTHER	OH	OHIO STATE BOARD TRAINING LICENSE NUMBER

General Provider Information

NPI Number	:	1962898858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH BARNARD MD

Provider Business Mailing Address
First Line	:	3034 CHADBOURNE RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-2447
Country	:	US
Telephone Number	:	216-296-3610
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # L10
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1423
Country	:	US
Telephone Number	:	216-445-7110
Fax Number	:

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

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	07/06/2021

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