Active NPI
Mary Etheldreda Hanna, M.D.
- Anesthesiology Physician
- Roanoke, VA
National Provider Identifier
1114967015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101036083
- Practice address
- 202 Duke of Gloucester St SW
Roanoke, VA 24014-1372 - Phone
- (540) 345-4900
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D44071 | MD | |
| Anesthesiology Physician | 207L00000X | 0101036083 | VA | Primary |
Addresses
Primary practice location
202 Duke of Gloucester St SW
Roanoke, VA 24014-1372
Mailing address
8563 Harvest View CT
Ellicott City, MD 21043-6560
Phone (410) 750-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D44071 | MD | MD | Anesthesiology Physician |
| 0101036083 | VA | MD | Anesthesiology Physician |
| D0044071 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harborview Anesthesia Associates-Allan M Birenberg M.D. P.a. | Anesthesiology | Past | Accepting new patients |
| Surgical Anesthesia Associates, PLLC | Anesthesiology | Past | Accepting new patients |
| Safe Sedation, PLLC | Anesthesiology | Past | Accepting new patients |
| Coastal Healthcare Resources Inc | Anesthesiology | Past | Accepting new patients |
| Providence Health Services, Inc | Anesthesiology | Past | Accepting new patients |
| Anesthesia Network Services, LLC | Anesthesiology | Past | Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Past | Accepting new patients |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Inderjit Singh MD PC | Past | Accepting new patients |
Organizations & group practices 9
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.
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-
- Anesthesiology Physician
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- NPI 1467635128
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1679526271
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Anesthesiology Physician
- Washington, DC
- NPI 1740795293
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1528071503
-
- Anesthesiology Physician
- Washington, DC
- NPI 1811930647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1114967015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8563 HARVEST VIEW CT",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210436560",
"telephone_number": "410-750-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 DUKE OF GLOUCESTER ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141372",
"telephone_number": "540-345-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "MARY",
"middle_name": "ETHELDREDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D44071",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101036083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.