Active NPI
Amina B Hanna, M.D.
- Pediatrics Physician
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 014755
- Practice address
- 121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653 - Phone
- (207) 721-8333
- Fax
- (207) 798-4618
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 014755 | ME | Primary |
Addresses
Primary practice location
121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653
Mailing address
121 Medical Center Dr
Suite 2600
Brunswick, ME 04011-2653
Phone (207) 721-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014755 | ME | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Pediatrics | Past | Accepting new patients |
Locations
121 Medical Center Dr
Ste 2600
Brunswick, ME 04011
Phone (207) 721-8333
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
81 Medical Center Dr
Ste 2200
Brunswick, ME 04011
Phone (207) 406-7290
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- ahanna364072@direct.mmc.mainehealth.org
Organizations & group practices 4
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.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Franklin Hospital
- General Acute Care Hospital
- Farmington, ME
- NPI 1609356419
-
dba MaineHealth Medical Group-Primary Care
- Clinic/Center
- Portland, ME
- NPI 1487346722
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740356104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2600",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8333",
"fax_number": "207-798-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 2600",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "207-721-8333",
"fax_number": "207-798-4618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "AMINA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "014755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
- Brooke Hamlin, LMSW-CC
- Melissa Hamlin, RN
- Hand Therapy Treatment and Education Center L3C
- Elizabeth Hanley, LCPC
- Sarah Hanmer, O.D.
- Hannaford Bros Co LLC (Hannaford Food and Drug)
- Hannaford Bros. Co., LLC (Hannaford Supermarket & Pharmacy)
- Tristan O Hansell
- Michelle F Hansen, LCSW; LICSW; LADC
- Susan M Hanson, R.PH.
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.