Scott Andrew Hannan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35080332 Issued in OH

Practice address

3477 Commerce Pkwy
Suite a
Wooster, OH 44691-7126

Phone

(330) 601-0999

Fax

(330) 601-0935

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1366491797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PKWY STE A",
            "address_2": "SUITE 105",
            "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 PKWY",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917126",
            "telephone_number": "330-601-0999",
            "fax_number": "330-601-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.hannan@42346140532740.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "3477 Commerce Pkwy",
            "address_2": "Suite A",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446917126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.hannan@42346140532740.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "3477 Commerce Pkwy",
            "address_2": "Suite A",
            "city": "Wooster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446917126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber N Haney, LISW-S
• Traci Hanger-Hoffman
• Vincent M Hanke
• Matthew Travis Hankins, QMHS
• Jodi Lynn Hannan, MD
• Laura Hansen
• Julia Ann Marie Hanshaw, APRN-CNP, AGACNP-BC
• Tonia Hanshaw
• Happy Sunflower Acupuncture LLC
• Elizabeth Harbeck

• Family Medicine Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.