Active NPI
Scott a Hannan MD LLC
Doing business as Buckeye Family Healthcare
- Family Medicine Physician
- Wooster, OH
National Provider Identifier
1235574500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35080332
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341942 | Medicaid | OH |
Other names 1
- Buckeye Family Healthcare
National Provider Directory
National Provider DirectoryLocations
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.
-
- Licensed Practical Nurse
- West Salem, OH
- NPI 1871977652
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.