NPIMap

Individual provider Active NPI

Paul D Hamm, D.O.

  • Family Medicine Physician
  • Clarion, PA
National Provider Identifier
1275537862
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010606L Issued in PA
Practice address
180 Greenville Ave
Clarion, PA 16214-1645
Phone
(814) 226-7651
Fax
(814) 226-4051
NPI assigned
Jun 10, 2005
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010606L PA Primary

Addresses

Primary practice location

180 Greenville Ave
Clarion, PA 16214-1645

Mailing address

180 Greenville Ave
Clarion, PA 16214-1645
Phone (814) 226-7651

Other identifiers 1

IdentifierTypeStateIssuer
0018406950001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000363 PA Practitioner - Family Practice 6507914421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Brooks Medical Arts, Inc Family Medicine CurrentSince Oct 17, 2000 Accepting new patients
Windsor, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lecom at Snyder Memorial Past Accepting new patients

Locations

180 Greenville Ave
Clarion, PA 16214
Phone (814) 226-7651

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: hamm_paul_do@yourcarecommunity.org
  • Direct secure messaging: paul.d.hamm@upmcdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clarion Forest Vna, IncClarion, PA, CCN 397116 Home health agency Corporate Director Jan 24, 2006
Clarion Forest Vna, HospiceClarion, PA, CCN 391576 Hospice Corporate Director Jan 25, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1275537862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GREENVILLE AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141645",
            "telephone_number": "814-226-7651",
            "fax_number": "814-226-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GREENVILLE AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141645",
            "telephone_number": "814-226-7651",
            "fax_number": "814-226-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010606L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018406950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.