Individual provider Active NPI

Antoin Hana, M.D.

  • Pediatrics Physician
  • Prestonsburg, KY
National Provider Identifier
1669483830
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40402 Issued in KY
Practice address
4851 Ky Route 321
Prestonsburg, KY 41653-9113
Phone
(606) 886-1173
Fax
(606) 886-2193
NPI assigned
Aug 11, 2006
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40402 KY Primary

Addresses

Primary practice location

4851 Ky Route 321
Prestonsburg, KY 41653-9113

Mailing address

PO Box 697
Prestonsburg, KY 41653-0697
Phone (606) 886-1173

Other identifiers 1

IdentifierTypeStateIssuer
64126055MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070221000405 KY Practitioner - Pediatric Medicine 2365544327 Reassigns benefits to 7 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Kentucky Tender Care Pediatrics LLC Pediatrics CurrentSince Jan 5, 2011 Accepting new patients
Frontier Behavioral Health Center PLLC CurrentSince Apr 3, 2017 Accepting new patients
Martin County Rural Health Clinic PLLC CurrentSince Mar 17, 2014 Accepting new patients
Clay City Pediatrics, PSC CurrentSince Jan 1, 2026 Accepting new patients
Frontier Medical Associates of Prestonsburg Inc CurrentSince Jan 20, 2021 Accepting new patients
Frontier Medical Associates of Paintsville Inc CurrentSince Aug 1, 2020 Accepting new patients
Samaritan Family Care LLC Pediatrics CurrentSince Apr 21, 2019 Accepting new patients
Albaree Health Services LLC CurrentSince Aug 26, 2014 Accepting new patients
Alpha Health Services PLLC PastSince Mar 22, 2016 Accepting new patients
Frontier Foundation Inc. PastSince Feb 9, 2022 Accepting new patients
Eastern Ky Tender Care Pediatrics, LLC Past Accepting new patients
Frontier Vision LLC PastSince Apr 19, 2022 Accepting new patients

Locations

98 River St
Clay City, KY 40312
Phone (606) 663-7788

64 Kirk Plz
Inez, KY 41224
Phone (606) 298-2520

236 College St
Paintsville, KY 41240
Phone (606) 372-1251

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

713 Broadway St
Ste 301A
Paintsville, KY 41240
Phone (606) 372-1234

713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234

400 University Dr
Ste 101
Prestonsburg, KY 41653
Phone (606) 886-1173

400 University Dr
Ste 102
Prestonsburg, KY 41653
Phone (606) 506-5441

400 University Dr
Ste 211A
Prestonsburg, KY 41653
Phone (606) 886-6622

5000 Ky Route 321
Ste 3141
Prestonsburg, KY 41653
Phone (606) 886-7517

842 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-8100

900 Tom Frazier Way
#100
Salyersville, KY 41465
Phone (606) 349-7475

900 Tom Frazier Way
#200
Salyersville, KY 41465
Phone (606) 349-8100

6340 US Highway 460
Staffordsvlle, KY 41256
Phone (606) 297-1501

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Albaree Health Services LLCSalyersville, KY, CCN 183941 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Aug 26, 2014
Aug 26, 2014
Eastern Kentucky Tender Care Pediatrics, LLCPrestonsburg, KY, CCN 183914 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Director
W-2 Managing Employee (100%)
Apr 14, 2007
Apr 14, 2007
Apr 14, 2007
Martin County Rural Health Clinic PLLCInez, KY, CCN 188941 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee
Operational/Managerial Control
Mar 17, 2014
Mar 17, 2014
Mar 17, 2014
Mar 17, 2014
Frontier Medical Associates of Paintsville IncPaintsville, KY, CCN B03831 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Aug 1, 2020
Aug 1, 2020
Aug 1, 2020
Aug 1, 2020
Frontier Medical Associates of Prestonsburg IncPrestonsburg, KY, CCN B03847 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Jan 20, 2021
Jan 20, 2021
Jan 20, 2021
Jan 20, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1669483830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530697",
            "telephone_number": "606-886-1173",
            "fax_number": "606-886-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 KY ROUTE 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-886-1173",
            "fax_number": "606-886-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANA",
        "first_name": "ANTOIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "40402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64126055",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.