Active NPI
Antoin Hana, M.D.
- Pediatrics Physician
- Prestonsburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 40402
- 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, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64126055 | Medicaid | KY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Kentucky Tender Care Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Frontier Behavioral Health Center PLLC | Current | Accepting new patients | |
| Martin County Rural Health Clinic PLLC | Current | Accepting new patients | |
| Clay City Pediatrics, PSC | Current | Accepting new patients | |
| Frontier Medical Associates of Prestonsburg Inc | Current | Accepting new patients | |
| Frontier Medical Associates of Paintsville Inc | Current | Accepting new patients | |
| Samaritan Family Care LLC | Pediatrics | Current | Accepting new patients |
| Albaree Health Services LLC | Current | Accepting new patients | |
| Alpha Health Services PLLC | Past | Accepting new patients | |
| Frontier Foundation Inc. | Past | Accepting new patients | |
| Eastern Ky Tender Care Pediatrics, LLC | Past | Accepting new patients | |
| Frontier Vision LLC | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Albaree Health Services LLC | 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, LLC | 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 PLLC | 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 Inc | 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 Inc | 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.
-
- Internal Medicine Physician
- Salyersville, KY
- NPI 1730232182
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Prestonsburg, KY
- NPI 1043437254
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Paintsville, KY
- NPI 1568070142
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Prestonsburg, KY
- NPI 1447840798
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
-
- Rural Health Clinic/Center
- Inez, KY
- NPI 1316363112
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
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.
-
- Internal Medicine Physician
- Salyersville, KY
- NPI 1730232182
-
- Rural Health Clinic/Center
- Prestonsburg, KY
- NPI 1043437254
Pediatrics
-
- Multi-Specialty Clinic/Center
- Salyersville, KY
- NPI 1295287118
-
- Rural Health Clinic/Center
- Paintsville, KY
- NPI 1568070142
-
- Rural Health Clinic/Center
- Prestonsburg, KY
- NPI 1447840798
-
- Rural Health Clinic/Center
- Inez, KY
- NPI 1316363112
-
- Primary Care Clinic/Center
- Clay City, KY
- NPI 1396048872
-
- Clinical Medical Laboratory
- Prestonsburg, KY
- NPI 1508210030
-
- Rural Health Clinic/Center
- Prestonsburg, KY
- NPI 1831190115
-
- Behavior Analyst
- Prestonsburg, KY
- NPI 1669259909
-
- Eyewear Supplier
- Prestonsburg, KY
- NPI 1952047284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.