DR. JOHN R HANNA (NPI# 1073825634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073825634 |
| Entity Type | Individual |
| Full Name | DR. JOHN R HANNA |
| Credential | M.D. |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Mailing Address |
28500 Northwestern Hwy Southfield MI 48034-1802 |
| Practice Telephone | 3139162600 |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2010-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
4301096730 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639555089 | John Hanna | Dentist | 8535 Ferndale Rd Ste 14, Dallas, TX 75238-4425 | 2015-08-08 |
| 1699106948 | John Habib Hanna | Family Medicine | 1180 South Ocean Blvd, Suite Number 10-a, Boca Raton, FL 33432-7639 | 2013-12-11 |
| 1952548992 | John Edward Hanna | Urology | 35 Watergate Dr, 906, Sarasota, FL 34236-5512 | 2009-01-13 |
| 1780653469 | John V. Hanna | Physician Assistant | 1 Outlet Ln, Suite 400, Lock Haven, PA 17745 | 2006-03-16 |
| 1316921109 | John T Hanna | Family Medicine | 1590 Crestview Dr Ste B, Ashland, OH 44805-3560 | 2005-12-05 |
| 1477550457 | John Joseph Hanna | Chiropractor | 9808 Northeast Pkwy, Matthews, NC 28105-3742 | 2005-07-05 |
| 1154944569 | John David Hanna | Student in an Organized Health Care Education/Training Program | 109 Physicians Dr, Greer, SC 29650-2446 | 2020-05-20 |
| 1346701026 | John Paul Hanna | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-03-26 |
| 1548765464 | John Hanna | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2018-03-25 |
| 1366962656 | John J Hanna | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-3001 | 2017-06-27 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407143068 | Shawn Brandenburg | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-07-05 |
| 1639468614 | Jaisy Jacob | Radiology | 4100 John R St, Detroit, MI 48201-2013 | 2011-03-30 |
| 1982731261 | Subhash Chander | Radiology | 3990 John R St, Detroit, MI 48201-2018 | 2007-02-27 |
| 1417905050 | Brenda Weingarten | Radiology | 2799 W Grand Blvd, Detroit, MI 48202 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316284243 | Paula Kristine Maas | Radiology | 1904 Goldeneye Dr, Holland, MI 49424-6080 | 2013-01-11 |
| 1952548778 | Anthony P Kozma | Radiology | 26861 W River Rd, Grosse Ile, MI 48138-2135 | 2009-01-15 |
| 1053459529 | Sharon Cohen Siegel | Radiology | 264 Lakewood Dr, Bloomfield Hills, MI 48304-3531 | 2007-02-04 |
| 1306948989 | Donald Roger Klein | Radiology | 1299 Porters Ln, Bloomfield Hills, MI 48302-0941 | 2006-09-02 |
| 1316994213 | Anthony A Bennett M D P C | Radiology | 29777 Telegraph Rd, Southfield, MI 48034-7625 | 2006-05-27 |
| 1891747614 | Michigan State University | Radiology | 804 Service Rd # D100, East Lansing, MI 48824-7015 | 2006-05-17 |
| 1831192640 | Won B Chae | Radiology | 29829 Telegraph Rd, Ste L103, Southfield, MI 48034-1376 | 2005-05-24 |
| 1609499847 | Ron Guron | Radiology | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2020-05-21 |
| 1568020741 | Cristian Chagas | Radiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-06-03 |
| 1588923148 | Saginaw Valley Medical Imaging | Radiology | 4200 Fashion Square Blvd, Suite 1, Saginaw, MI 48603-1375 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.