Active NPI
Josiah Hannen
- Physician Assistant
- Springboro, OH
National Provider Identifier
1376008136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2314
- Practice address
- 325 N Main St Ste 206
Springboro, OH 45066-8005 - Phone
- (937) 619-0101
- NPI assigned
- Feb 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2314 | WV | Primary |
| Physician Assistant | 363A00000X | 50.005641RX | OH |
Addresses
Primary practice location
325 N Main St Ste 206
Springboro, OH 45066-8005
Mailing address
2270 Township Road 138
Dillonvale, OH 43917-7942
Phone (724) 312-5963
Other practice location 1
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 845-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.39 of 100
- Quality
- 69.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.005641RX | OH | MD | Physician Assistant |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Oberlin, OH
- NPI 1841902814
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Lorain, OH
- NPI 1427760487
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1376008136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 TOWNSHIP ROAD 138",
"city": "DILLONVALE",
"state": "OH",
"postal_code": "439177942",
"telephone_number": "724-312-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N MAIN ST STE 206",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450668005",
"telephone_number": "937-619-0101"
}
],
"practiceLocations": [
{
"address_1": "800 Wheeling Ave",
"address_purpose": "LOCATION",
"city": "Glen Dale",
"state": "WV",
"postal_code": "260381660",
"country_code": "US",
"telephone_number": "304-845-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNEN",
"first_name": "JOSIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-06",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "2314",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.005641RX",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.