Individual provider Active NPI

John Mark Hannaford, PA-C

  • Physician Assistant
  • Muncie, IN
National Provider Identifier
1922121870
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000922A Issued in IN
Practice address
3911 W Clara LN
US Health Works
Muncie, IN 47304-5412
Phone
(765) 288-8800
Fax
(765) 751-2278
NPI assigned
Apr 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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 10000922A IN Primary

Addresses

Primary practice location

3911 W Clara LN
US Health Works
Muncie, IN 47304-5412

Mailing address

3911 W Clara LN
US Health Works
Muncie, IN 47304-5412
Phone (765) 288-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113001003 IN Practitioner - Physician Assistant 6002005550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

4125 W Clara LN
Concentra Urgent Care
Muncie, IN 47304-5466
Phone (765) 288-8800

5604 W 74TH St
Concentra Urgent Care
Indianapolis, IN 46278-1752
Phone (317) 290-1551

5940 Decatur Blvd
Indianapolis, IN 46241-9579
Phone (317) 856-2945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Aug 13, 2018 Accepting new patients
American Current Care P.a. CurrentSince Aug 13, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5604 W 74th St
Indianapolis, IN 46278
Phone (317) 290-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

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": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1922121870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 W CLARA LN",
            "address_2": "US HEALTH WORKS",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045412",
            "telephone_number": "765-288-8800",
            "fax_number": "765-751-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 W CLARA LN",
            "address_2": "US HEALTH WORKS",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045412",
            "telephone_number": "765-288-8800",
            "fax_number": "765-751-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAFORD",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000922A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.