Organization Active NPI

Scott a Hannan MD LLC

Doing business as Buckeye Family Healthcare

  • Family Medicine Physician
  • Wooster, OH
National Provider Identifier
1235574500
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35080332 Issued in OH
Legal business name
SCOTT A HANNAN MD LLC
Doing business as
Buckeye Family Healthcare
Practice address
3477 Commerce Parkway
Suite a
Wooster, OH 44691-6109
Phone
(330) 601-0999
Fax
(330) 601-0935
NPI assigned
May 1, 2013
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Mrs. Kimberly I Williams
Title
Practice Manager
Phone
(330) 601-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35080332 OH Primary

Addresses

Primary practice location

3477 Commerce Parkway
Suite a
Wooster, OH 44691-6109

Mailing address

3477 Commerce Pkwy
Suite a
Wooster, OH 44691-7126
Phone (330) 601-0999

Other identifiers 1

IdentifierTypeStateIssuer
2341942MedicaidOH

Other names 1

  • Buckeye Family Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

3477 Commerce Pkwy
Ste A
Wooster, OH 44691
Phone (330) 345-8410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1235574500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PKWY",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917126",
            "telephone_number": "330-601-0999",
            "fax_number": "330-601-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PARKWAY",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916109",
            "telephone_number": "330-601-0999",
            "fax_number": "330-601-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A HANNAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-601-0999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35080332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341942",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.