Individual provider Active NPI

Stephen R Hanna Jr., M.D.

  • Specialist
  • Easton, MD
National Provider Identifier
1164535894
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0055888 Issued in MD
Practice address
522 Idlewild Ave
Easton, MD 21601-3824
Phone
(410) 822-5571
Fax
(410) 822-3859
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0055888 MD Primary

Addresses

Primary practice location

522 Idlewild Ave
Easton, MD 21601-3824

Mailing address

522 Idlewild Ave
Easton, MD 21601-3824
Phone (410) 822-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20090513000557 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870676943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

100 Brown St
Chestertown, MD 21620-1435

125 Shoreway Dr
Suite 310
Queenstown, MD 21658-1683
Phone (410) 553-8300

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000

500 Cadmus LN
Easton, MD 21601-4094

713 Cambridge Marketplace Blvd
Cambridge, MD 21613-2563

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 13, 2009 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 13, 2009 Accepting new patients
Chesapeake Cardiology Clinic, P.a. Specialist Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

522 Idlewild Ave
Easton, MD 21601
Phone (410) 820-4888

500 Cadmus Ln
Ste 208
Easton, MD 21601
Phone (410) 822-5571

219 S Washington St
Easton, MD 21601

500 Cadmus Ln
Ste 207
Easton, MD 21601
Phone (410) 822-5571

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: shanna77860@direct.umm.edu

Organizations & group practices 3

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 7

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1164535894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-822-5571",
            "fax_number": "410-822-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 IDLEWILD AVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013824",
            "telephone_number": "410-822-5571",
            "fax_number": "410-822-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0055888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.