Active NPI
Pamela Hanna, MD
- Anesthesiology Physician
- Charlotte, NC
National Provider Identifier
1669461570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0039150
- Practice address
- 2001 Vail Ave
Charlotte, NC 28207-1219 - Phone
- (704) 379-5956
- Fax
- (704) 379-6218
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0039150 | NC | Primary |
Addresses
Primary practice location
2001 Vail Ave
Charlotte, NC 28207-1219
Mailing address
PO Box 36351
Charlotte, NC 28236-6351
Phone (704) 377-5772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N39150 | Other | SC | MEDICAID |
| 8930935 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0039150 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster Anesthesia & Associates, PA | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Consultants of South Carolina, PLLC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1023335551
-
- Certified Registered Nurse Anesthetist
- Lancaster, SC
- NPI 1104898329
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1669461570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36351",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282366351",
"telephone_number": "704-377-5772",
"fax_number": "704-377-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAIL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071219",
"telephone_number": "704-379-5956",
"fax_number": "704-379-6218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "PAMELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "0039150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "N39150",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930935",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.