Hannah Gadway, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4351050353 Issued in MI

Practice address

3601 W Thirteen Mile Rd
Gme Offic
Royal Oak, MI 48073-4807

Phone

(248) 551-6489

NPI assigned

Jun 23, 2020

Reactivated

Jul 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1043836265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "address_2": "GME OFFICE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-551-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W THIRTEEN MILE RD",
            "address_2": "GME OFFIC",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734807",
            "telephone_number": "248-551-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADWAY",
        "first_name": "HANNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "deactivation_date": "2022-06-15",
        "reactivation_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351050353",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351050353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Fundaro, LPN
• Victoria Anne Funk, REGISTER
• Michelle Lynn Furmaga, MD
• Gabrielle Furr
• Rachel Lynne Gabriel
• Adam J. Gadzinski, M.D.
• Jill Ashley Gadzinski, M.D.
• Jeremy Lawrence Gagan, M.D.
• Joshua Paul Gahan, MD
• Kenneth Wayne Gahry, PA-C, MS

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.