Paul L. Hannah, M.D. , M.S. LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PAUL L. HANNAH, M.D. , M.S. LTD

Practice address

3787 Grant St
Gary, IN 46408-2142

Phone

(219) 981-4800

Fax

(219) 981-4805

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Paul L. Hannah, MD, M.S, LTDNPI 1992920169

Title

Ceo

Phone

(219) 981-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul L. Hannah, M.D.

  • Psychiatry Physician
  • Gary, IN
  • NPI 1992920169
  NPD (past) Authorized official
• Martha F. Hernandez, M.D.

  • Psychiatry Physician
  • Gary, IN
  • NPI 1528284452
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629593272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3787 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082142",
            "telephone_number": "219-981-4800",
            "fax_number": "219-981-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464082142",
            "telephone_number": "219-981-4800",
            "fax_number": "219-981-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L. HANNAH, M.D. , M.S. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-981-4800",
        "authorized_official_credential": "MD, M.S, LTD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Parker
• Daniel Parker, MA
• Pragna Anil Pathak, RPH
• Paulette Faye Patterson, RN
• Sanadah Marie Patterson
• Pediatric, Infant & Family Home Health Care Specialists, Inc
• Pediatrics After Hours, LLC
• Janet McAvoy Penner, PTA
• Tony Pernell Jr.
• Jamel Peterson

• Psychiatry Physician in Gary, IN
• Providers in Gary, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.