Organization Active NPI

John L Hahn MD Inc

  • Obstetrics & Gynecology Physician
  • Petersburg, WV
National Provider Identifier
1699202150
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JOHN L HAHN MD INC
Practice address
10 Valley St Ste 101
Petersburg, WV 26847-9568
Phone
(304) 257-2152
Fax
(304) 257-2928
NPI assigned
May 16, 2017
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
John L Hahn, MDNPI 1831190446
Title
Sole Owner
Phone
(304) 257-2152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X WV Primary

Addresses

Primary practice location

10 Valley St Ste 101
Petersburg, WV 26847-9568

Mailing address

10 Valley St Ste 101
Petersburg, WV 26847-9568
Phone (304) 257-2152

Other practice location 1

514 New Creek Hwy
Keyser, WV 26726
Phone (304) 257-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726000326 WV Part B Supplier - Clinic/Group Practice 8224308101 Receives reassigned benefits from 1 practitioner
Practice locations: Keyser, WV; Petersburg, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1699202150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VALLEY ST STE 101",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479568",
            "telephone_number": "304-257-2152",
            "fax_number": "304-257-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VALLEY ST STE 101",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479568",
            "telephone_number": "304-257-2152",
            "fax_number": "304-257-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 New Creek Hwy",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "26726",
            "country_code": "US",
            "telephone_number": "304-257-2152",
            "fax_number": "304-257-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN L HAHN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "304-257-2152",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.