THOMAS L HANNUM (NPI# 1174721674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174721674 |
| Entity Type | Individual |
| Full Name | THOMAS L HANNUM |
| Credential | MD |
| Practice Address |
984 Medical Dr Brigham City UT 84302-4712 |
| Practice Telephone | 4357235248 |
| Practice Fax Number | 4357235240 |
| Mailing Telephone | 4357235248 |
| Mailing Fax Number | 4357235240 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 145094-1205 | UT | Other Service Providers |
| Street Address |
984 MEDICAL DR |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043220445 | Stephen E Starr | Obstetrics & Gynecology | 984 Medical Dr, Suite 4, Brigham City, UT 84302-3604 | 2006-08-08 |
| 1053732297 | Christy Annie Overson | Registered Nurse | 984 Medical Dr, Ste 4, Brigham City, UT 84302-3604 | 2013-12-13 |
| 1831424324 | Mountainstar Canyon Surgical Clinic LLC | Surgery | 984 Medical Dr, Suite 2, Brigham City, UT 84302-3604 | 2009-10-16 |
| 1134379696 | Mountainstar Brigham Obgyn, LLC | Obstetrics & Gynecology | 984 Medical Dr, Brigham City, UT 84302-4712 | 2008-09-22 |
| 1407049083 | Daniel R. Ferguson, Md, P.C. | Obstetrics & Gynecology | 984 Medical Dr, Suite 4, Brigham City, UT 84302-4712 | 2007-08-27 |
| 1801089214 | Lance Fred Barker | Family Medicine | 984 Medical Dr, Suite 1, Brigham City, UT 84302-4712 | 2007-08-20 |
| 1639372840 | Lance R Bryce | Surgery | 984 Medical Dr, Suite 2, Brigham City, UT 84302-3604 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104119957 | Orthopaedic Therapy and Sports Performance LLC | Specialist | 1030 S Medical Dr, Ste B, Brigham City, UT 84302-0739 | 2011-05-25 |
| 1760607782 | Scott D Turner | Specialist | 990 Medical Dr Ste Gl3, Brigham City, UT 84302-3077 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1255803920 | Premier Pediatrics LLC | Specialist | 48 S 2500 W Ste 220, Hurricane, UT 84737-3380 | 2018-12-19 |
| 1255824090 | Jose Ramiro Izquierdo | Specialist | 6975 S Union Park Ctr, Cottonwood Heights, UT 84047-6048 | 2018-06-06 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1306352091 | Gary Thomas | Specialist | 1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563 | 2017-12-18 |
| 1922533751 | Natasha Peterson | Specialist | 84 E 150 N, American Fork, UT 84003-1624 | 2017-04-30 |
| 1265967814 | Sahra Askalany Affleck | Specialist | 5543 W 10180 N, Highland, UT 84003-9154 | 2017-04-20 |
| 1699209221 | Mountain Spine PC | Specialist | 11613 S State St, Draper, UT 84020-9456 | 2017-04-20 |
| 1215475116 | Megan Porter | Specialist | 307 N 300 W Ste 301, Kaysville, UT 84037-1852 | 2017-02-10 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
Please comment or provide details below to improve the information on THOMAS L HANNUM.
| 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.