YOUSSEF M HANNA (NPI# 1639115397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639115397 |
| Entity Type | Individual |
| Full Name | YOUSSEF M HANNA |
| Credential | MD |
| Practice Address |
1231 Pine Grove Ave Ste 2f Port Huron MI 48060-3500 |
| Mailing Address |
1231 Pine Grove Ave Suite 2f Port Huron MI 48060-3500 |
| Practice Telephone | 8109825200 |
| Practice Fax Number | 8109829776 |
| Mailing Telephone | 8109825200 |
| Mailing Fax Number | 8109829776 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301061471 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4397059 | 05 | |
| MI | BCN HANNA | P115104 | 01 |
| MI | BCBSM | 110G41039 | 01 |
| Street Address |
1231 PINE GROVE AVE STE 2F |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573681 | Sajjad Saeed | Internal Medicine | 1231 Pine Grove Ave, Port Huron, MI 48060-3500 | 2006-01-25 |
| 1568761393 | Wendy Ann Schill | Nurse Practitioner | 1231 Pine Grove Ave, Suite 2a, Port Huron, MI 48060-3500 | 2011-03-18 |
| 1902116122 | Andrea Wallace | Physical Therapist | 1231 Pine Grove Ave, Suite 1a, Port Huron, MI 48060-3500 | 2010-10-21 |
| 1801102371 | Candise Ann Love | Registered Nurse | 1231 Pine Grove Ave, Ste 2f, Port Huron, MI 48060-3500 | 2010-08-23 |
| 1629224423 | Advanced Orthopedics Physical Therapy Pllc | Physical Medicine & Rehabilitation | 1231 Pine Grove Ave, Suite 1a, Port Huron, MI 48060-3500 | 2008-08-12 |
| 1790814986 | Advanced Orthopedic Pllc | Orthopaedic Surgery | 1231 Pine Grove Ave, Suite 1a, Port Huron, MI 48060-3500 | 2007-03-05 |
| 1184735300 | Anup Lal | Internal Medicine | 1231 Pine Grove Ave, Ste 2f, Port Huron, MI 48060-3500 | 2006-08-31 |
| 1063453413 | Samir Alsawah | Internal Medicine | 1231 Pine Grove Ave, Ste 2f, Port Huron, MI 48060-3500 | 2006-06-09 |
| 1669436184 | Timothy L Lukas | Orthopaedic Surgery | 1231 Pine Grove Ave, Suite 1a, Port Huron, MI 48060-3500 | 2006-04-13 |
| 1164483707 | Jody A Britz | Nurse Practitioner | 1231 Pine Grove Ave, Suite 2b, Port Huron, MI 48060-3500 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619054160 | Blue Water Oncology PC | Internal Medicine | 2605 Electric Ave, Port Huron, MI 48060-6590 | 2006-11-01 |
| 1184735300 | Anup Lal | Internal Medicine | 1231 Pine Grove Ave, Ste 2f, Port Huron, MI 48060-3500 | 2006-08-31 |
| 1447277496 | Huron Medical Center P.C. | Internal Medicine | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2006-07-16 |
| 1063453413 | Samir Alsawah | Internal Medicine | 1231 Pine Grove Ave, Ste 2f, Port Huron, MI 48060-3500 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
| 1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
| 1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
| 1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
| 1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.