Individual provider Active NPI

Patricia Hannon, P.A.

  • Physician Assistant
  • Milton, DE
National Provider Identifier
1679648455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000453 Issued in DE
Practice address
28312 Lewes Georgetown Highway
Cool Spring Office Park
Milton, DE 19968
Phone
(302) 684-0990
Fax
(302) 684-0991
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000453 DE Primary

Addresses

Primary practice location

28312 Lewes Georgetown Highway
Cool Spring Office Park
Milton, DE 19968

Mailing address

28312 Lewes Georgetown Highway
Cool Spring Office Park
Milton, DE 19968
Phone (302) 684-0990

Other names 1

  • Patricia Snyder Former name

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000453DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreview Medical, PA Past Accepting new patients

Organizations & group practices 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679648455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28312 LEWES GEORGETOWN HIGHWAY",
            "address_2": "COOL SPRING OFFICE PARK",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "19968",
            "telephone_number": "302-684-0990",
            "fax_number": "302-684-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28312 LEWES GEORGETOWN HIGHWAY",
            "address_2": "COOL SPRING OFFICE PARK",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "19968",
            "telephone_number": "302-684-0990",
            "fax_number": "302-684-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "PATRICIA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SNYDER",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.