Individual provider Active NPI

Christine Danielle Hannaway, MD

  • Surgery Physician
  • Seaford, DE
National Provider Identifier
1336373430
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C10009853 Issued in DE
Practice address
100 Rawlins Drive
Seaford, DE 19973-9999
Phone
(302) 628-4270
NPI assigned
May 5, 2009
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101229793 VA
Surgery Physician 208600000X C10009853 DE Primary
Surgery Physician 208600000X D0069715 MD

Addresses

Primary practice location

100 Rawlins Drive
Seaford, DE 19973-9999

Mailing address

100 Rawlins Drive
Seaford, DE 19973-9999
Phone (302) 628-4270

Other identifiers 7

IdentifierTypeStateIssuer
1851473722OtherMDMEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - GROUP NPI
1821030156OtherMDMEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - GENERAL SURGERY NPI
222101209OtherMDMEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - MEDICAID GROUP
7303882MedicaidVA
624316OtherDCMEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - MEDICARE GOUP
B776OtherDCMEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - BCBS DC GROUP
KR10MEOtherMDMEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC - BCBS MD GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20111109000691 DE Practitioner - General Surgery 8729127923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10009853DEMDSurgery Physician
0101229793VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Surgical Clinics of Southern Maryland Inc Surgery Past Accepting new patients

Organizations & group practices 2

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 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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1336373430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RAWLINS DRIVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199739999",
            "telephone_number": "302-628-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RAWLINS DRIVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199739999",
            "telephone_number": "302-628-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAWAY",
        "first_name": "CHRISTINE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101229793",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C10009853",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0069715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC  -  GROUP NPI",
            "identifier": "1851473722",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC  -  GENERAL SURGERY NPI",
            "identifier": "1821030156",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC  -  MEDICAID GROUP",
            "identifier": "222101209",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7303882",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC   -  MEDICARE GOUP",
            "identifier": "624316",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC  -  BCBS DC GROUP",
            "identifier": "B776",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND INC  -  BCBS MD GROUP",
            "identifier": "KR10ME",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.