Paul Canning Hanahan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39750 Issued in OH

Practice address

50 Normandy Dr Ste 5
Painesville, OH 44077-1600

Phone

(440) 354-4747

Fax

(440) 354-3530

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake-Geauga Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Mentor, OH
  • NPI 1750489779
  Medicare reassignment NPD
• Lake County and West Ekg Associates

  • Cardiovascular Disease Physician
  • Painesville, OH
  • NPI 1710946785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1003976200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 TURNEY RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440579773",
            "telephone_number": "440-259-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORMANDY DR STE 5",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771600",
            "telephone_number": "440-354-4747",
            "fax_number": "440-354-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAHAN",
        "first_name": "PAUL",
        "middle_name": "CANNING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "39750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492631",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thanahan@healthcareforbusiness.com",
            "affiliation": "N",
            "endpointDescription": "Hanahan Practice Direct Email Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CCDA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "50 Normandy Dr Ste 5",
            "city": "Painesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440771600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tina Marie Gruly, CRNA
• Carla Grzely, R.N.
• John R Hagopian, M.D.
• Thomas Aquinos Hamilton, L.P.T
• Teresa Hamulak
• Kathryn L Hanna-Stauffer, LD
• Christina Harmer
• Audrey Marie Harries, RPH
• James Thomas Harries
• Charisse Harris

• Family Medicine Physician in Painesville, OH
• Providers in Painesville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.