Active NPI
Barbara B Hackman MD PC
- Adult Medicine Physician
- Paoli, PA
National Provider Identifier
1467624072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- MD072634L
- Legal business name
- BARBARA B HACKMAN MD PC
- Practice address
- 30 S Valley Rd
Suite 205
Paoli, PA 19301-1450 - Phone
- (610) 651-7760
- Fax
- (610) 651-7767
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara B Hackman, MD
- Title
- President
- Phone
- (610) 651-7760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MD072634L | PA | Primary |
Addresses
Primary practice location
30 S Valley Rd
Suite 205
Paoli, PA 19301-1450
Mailing address
30 S Valley Rd
Suite 205
Paoli, PA 19301-1450
Phone (610) 651-7760
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2103014000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 001416468 | Other | PA | HIGHMARK BS |
| 2103014000 | Other | PA | AMERIHEALTH, INC. |
National Provider Directory
National Provider DirectoryLocations
1189 Lancaster Ave
Ste 102
Berwyn, PA 19312
Phone (610) 527-2000
209 W Lancaster Ave
Ste 101
Paoli, PA 19301
Phone (610) 644-2382
30 S Valley Rd
Ste 205
Paoli, PA 19301
Phone (610) 644-2992
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Paoli, PA
- NPI 1548233083
-
- General Practice Physician
- Bryn Mawr, PA
- NPI 1538151220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1467624072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S VALLEY RD",
"address_2": "SUITE 205",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011450",
"telephone_number": "610-651-7760",
"fax_number": "610-651-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S VALLEY RD",
"address_2": "SUITE 205",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011450",
"telephone_number": "610-651-7760",
"fax_number": "610-651-7767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA B HACKMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "HACKMAN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-651-7760",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "PA",
"license": "MD072634L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2103014000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "001416468",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH, INC.",
"identifier": "2103014000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.