BARBARA B HACKMAN MD PC (NPI# 1467624072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467624072 |
| Entity Type | Organization |
| Organization Name | BARBARA B HACKMAN MD PC |
| Practice Address |
30 S Valley Rd Suite 205 Paoli PA 19301-1450 |
| Practice Telephone | 6106517760 |
| Practice Fax Number | 6106517767 |
| Mailing Telephone | 6106517760 |
| Mailing Fax Number | 6106517767 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | BARBARA B HACKMAN (PRESIDENT) |
| Authorized Official Telephone | 6106517760 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD072634L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS | 2103014000 | 01 |
| PA | HIGHMARK BS | 001416468 | 01 |
| PA | AMERIHEALTH, INC. | 2103014000 | 01 |
| Street Address |
30 S VALLEY RD SUITE 205 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711020 | Joseph Michael Corcoran | Physical Medicine & Rehabilitation | 30 S Valley Rd, Ste 102, Paoli, PA 19301-1469 | 2005-06-23 |
| 1700244175 | Wiley Ventures Inc | Social Worker | 30 S Valley Rd, 211, Paoli, PA 19301-1450 | 2016-02-01 |
| 1245697945 | Carolyn Flood and Assoc LLC | Counselor | 30 S Valley Rd, Paoli, PA 19301-1450 | 2016-01-26 |
| 1851684906 | Main Line Neuropsychology, Pllc | Psychologist | 30 S Valley Rd, Suite 207, Paoli, PA 19301-1450 | 2011-05-24 |
| 1528247707 | Vanessa Jean Kahen Johnson | Psychologist | 30 S Valley Rd, Suite 201, Paoli, PA 19301-1450 | 2007-10-24 |
| 1457562977 | The Devereux Foundation | Case Management | 30 S Valley Rd, Suite 300, Paoli, PA 19301-1450 | 2007-05-25 |
| 1164632451 | The Devereux Foundation | Community/Behavioral Health | 30 S Valley Rd, Paoli, PA 19301-1450 | 2007-05-23 |
| 1851424303 | Advanced Hearing & Balance Care LLC | Audiologist | 30 S Valley Rd, Suite 208, Paoli, PA 19301-1450 | 2007-03-13 |
| 1063595007 | Paoli Sports Medicine and Rehabilitation Center, Inc. | Specialist | 30 S Valley Rd, Suite 102, Paoli, PA 19301-1469 | 2006-10-23 |
| 1912911306 | Sandra Kay Wiley | Social Worker | 30 S Valley Rd, 211, Paoli, PA 19301-1450 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538185582 | Barbara B Hackman | Family Medicine | 209 W Lancaster Ave, Suite #101, Paoli, PA 19301-1749 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1639625809 | Gina Slobogin | Family Medicine | 400 Cherry Tree Rd, Upper Chichester, PA 19014-2406 | 2016-08-28 |
| 1134536238 | Kristina Marie Newcomer | Family Medicine | 496 Shelleys Ln, Etters, PA 17319-9412 | 2014-07-21 |
| 1811317886 | Paul Nweze Madubuonwu | Family Medicine | 4 Foster Plz, 501 Holiday Drive, Pittsburgh, PA 15220-2749 | 2014-04-17 |
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1275896383 | Louis Bell | Family Medicine | 322 Linden Drive, Elkins Park, PA 19027-1342 | 2012-06-22 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1578835799 | Gordon Thomas Fletcher | Family Medicine | 128 Guillard Rd, Prospect, PA 16052-2702 | 2012-02-03 |
| 1548568157 | Philip Edward Shoaf | Family Medicine | 4074 Market St, Birmingham, PA 16686-5004 | 2011-03-06 |
| 1316257884 | Theodore P. Burger | Family Medicine | 3370 Woodbridge Cir, Bethlehem, PA 18017-1736 | 2010-10-18 |
| 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.