Hannah Marie Blanton, DO

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chardon, OH

NPI 1720780778 · NPPES record last updated May 21, 2025

Key facts

NPI
1720780778
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone
(877) 693-0907
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230421001543 OH Order and Referring Only - Physical Medicine and Rehabilitation
Practitioner - Physical Medicine and Rehabilitation
8820453012

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: hmiller220521@ehrdirect.uhhospitals.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

13207 Ravenna Rd
Chardon, OH 44024-7032

Mailing address

13207 Ravenna Rd
Chardon, OH 44024-7032

Other providers in Chardon, OH

All providers in Chardon, OH · Student in an Organized Health Care Education/Training Program in Ohio

Sources for this page

Verify at the official NPI Registry.