Individual provider Active NPI

Maryanne A Hannaney, MD

  • Obstetrics & Gynecology Physician
  • Riverton, WY
National Provider Identifier
1497797260
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6798A Issued in WY
Practice address
2300 Gasser Rd.
Riverton, WY 82501
Phone
(307) 856-4232
Fax
(307) 856-4243
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6798A WY Primary

Addresses

Primary practice location

2300 Gasser Rd.
Riverton, WY 82501

Mailing address

2300 Gasser Rd.
Riverton, WY 82501
Phone (307) 856-4232

Other identifiers 1

IdentifierTypeStateIssuer
118601900MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171226001662 CA Practitioner - Obstetrics/Gynecology 3476444712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6798AWYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 4, 2018 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Mar 11, 2018 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Interoperability endpoints

  • Direct secure messaging: mhannaney181940@direct.llu.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1497797260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GASSER RD.",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501",
            "telephone_number": "307-856-4232",
            "fax_number": "307-856-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GASSER RD.",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "82501",
            "telephone_number": "307-856-4232",
            "fax_number": "307-856-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNANEY",
        "first_name": "MARYANNE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "6798A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118601900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.