Individual provider Active NPI

Erin E Hanover, MD

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1073716064
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.29132 Issued in AL
Practice address
3000 Soutlake Park Suite 100
Birmingham, AL 35244
Phone
(205) 987-0724
Fax
(205) 987-0725
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.29132 AL Primary

Addresses

Primary practice location

3000 Soutlake Park Suite 100
Birmingham, AL 35244

Mailing address

3000 Soutlake Park Suite 100
Birmingham, AL 35244
Phone (205) 987-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110621000668 AL Practitioner - Psychiatry 4981882966 Reassigns benefits to 3 organizations
I20201001002141 UT Practitioner - Psychiatry 4981882966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

8 TH Ave C St
Salt Lake City, UT 84143-0002
Phone (801) 408-1146

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.29132ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Aug 11, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Kolbe Clinic LLC Psychiatry CurrentSince Nov 1, 2015 Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince Aug 11, 2020 Accepting new patients
Psychiatry South, Inc. Psychiatry CurrentSince May 8, 2011 Accepting new patients

Locations

109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742

3000 Southlake Park
Ste 100
Hoover, AL 35244
Phone (205) 987-0724

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1073716064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SOUTLAKE PARK SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-987-0724",
            "fax_number": "205-987-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SOUTLAKE PARK SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-987-0724",
            "fax_number": "205-987-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOVER",
        "first_name": "ERIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.29132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.