Richard F Hamaker, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004567 Issued in GA

Practice address

220 Oakside LN
Canton, GA 30114-6413

Phone

(678) 807-1050

Fax

(678) 807-1055

NPI assigned

Dec 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• East Texas Medical Center Healthcare Associates

  dba Texas Trauma and Emergency Care

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)
• East Texas Medical Center Healthcare Associates

  dba East Texas Emergency Physicians

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1699719872
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1104803832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300280307",
            "telephone_number": "770-887-1668",
            "fax_number": "770-781-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 OAKSIDE LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146413",
            "telephone_number": "678-807-1050",
            "fax_number": "678-807-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAKER",
        "first_name": "RICHARD",
        "middle_name": "F",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PHYS ASSISTANT LIC #",
            "identifier": "004567",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keoshia Kristina Hall
• Maegan A Hall
• Melissa Floyd Hall, LMSW
• Jeffrey Haller, MD
• Christine Reyes-Valera Hamadou
• Amanda Leigh Hambrick, ATC
• Arronda Hamlet
• Jeremy B Hamm, PHARMD
• Tamelle Hammond-Jones, RN
• Sara Hammond, DO

• Medical Physician Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.