Organization Active NPI

Barbara B Hackman MD PC

  • Adult Medicine Physician
  • Paoli, PA
National Provider Identifier
1467624072
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD072634L Issued in PA
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

Updated by the provider on Jul 3, 2008

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2103014000OtherPAINDEPENDENCE BLUE CROSS
001416468OtherPAHIGHMARK BS
2103014000OtherPAAMERIHEALTH, INC.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.