Individual provider Active NPI

Richard E Hanshaw, PA

  • Physician Assistant
  • Belpre, OH
National Provider Identifier
1306806369
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004708RX Issued in OH
Practice address
807 Farson St Ste 126
Belpre, OH 45714-1068
Phone
(740) 374-7985
Fax
(740) 374-7990
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004708RX OH Primary

Addresses

Primary practice location

807 Farson St Ste 126
Belpre, OH 45714-1068

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 568-4814

Other practice location 1

400 Matthew St Ste 301
Marietta, OH 45750-1656
Phone (740) 374-7985

Other identifiers 1

IdentifierTypeStateIssuer
0185170MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address richard.hanshaw@mmhs.medicity.net
Direct Messaging Address richard.hanshaw@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118001973 OH Practitioner - Physician Assistant 3476793613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

807 Farson St
Belpre, OH 45714-1068

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004708RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Nov 1, 2016 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

400 Matthew St
Ste 301
Marietta, OH 45750
Phone (740) 374-7985

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

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 1

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1306806369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-568-4814",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 FARSON ST STE 126",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141068",
            "telephone_number": "740-374-7985",
            "fax_number": "740-374-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Matthew St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501656",
            "country_code": "US",
            "telephone_number": "740-374-7985",
            "fax_number": "740-374-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSHAW",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004708RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185170",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.hanshaw@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 301",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.hanshaw@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 126",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.