DR. SHERYL L HANAWALT (NPI# 1780971846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780971846 |
| Entity Type | Individual |
| Full Name | DR. SHERYL L HANAWALT |
| Credential | DPM |
| Practice Address |
1239 Woodland Dr Suite 101 Elizabethtown KY 42701-2770 |
| Practice Telephone | 2707373338 |
| Practice Fax Number | 2707655666 |
| Mailing Telephone | 2707373338 |
| Mailing Fax Number | 2707655666 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00414 | KY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2011021444 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT HEALTH PLAN | 50070767 | 01 |
| IN | RAILROAD MEDICARE | P01370623 | 01 |
| KY | ANTHEM | 000000879046 | 01 |
| IN | 201243010 | 05 | |
| KY | 7100308110 | 05 |
| Street Address |
1239 WOODLAND DR SUITE 101 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609858539 | Ijaz Mahmood | Internal Medicine | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2005-11-16 |
| 1457992570 | Marinda Moore Schneider | Nurse Practitioner | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-09-30 |
| 1780246785 | Jordan Harrison | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-07-01 |
| 1700346665 | Tiffani Romayne Wallace | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-03-25 |
| 1881162428 | Kristina Marie Boshart | Behavioral Analyst | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2018-11-12 |
| 1598233132 | Sandrea L Patterson | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2018-11-12 |
| 1164970448 | Heartland Whole Brain Learning-pediatric & Adult Therapy LLC | Developmental Therapist | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2016-09-15 |
| 1922443480 | Etown Family Practice Plc | Clinic/Center | 1239 Woodland Dr, Suite 105, Elizabethtown, KY 42701-2770 | 2013-05-09 |
| 1114263100 | Wisdom Key Behavioral Health Services Inc | Nurse Practitioner | 1239 Woodland Dr, Suite 110, Elizabethtown, KY 42701-2770 | 2012-12-18 |
| 1609154442 | Ernest Lee Towns | Counselor | 1239 Woodland Dr, Suite 116, Elizabethtown, KY 42701-2770 | 2011-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386788305 | Karason Podiatric Centers, Inc. | Podiatrist | 327 E High St, Suite A, Elizabethtown, PA 17022-1919 | 2007-02-16 |
| 1063410231 | Russell Lynn Mckinley | Podiatrist | 708 Westport Rd, Suite 102, Elizabethtown, KY 42701-3819 | 2005-07-12 |
| 1023491073 | Jasmine Neal | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2015-07-08 |
| 1083029235 | Christopher Carl Saccone | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2014-06-26 |
| 1285956706 | Paul Jason Klutts | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2010-02-25 |
| 1235228040 | Syed Ahmed | Podiatrist | 3045 Ring Rd, Elizabethtown, KY 42701-7933 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651852 | Sports Medicine Surgical Specialists Pllc | Podiatrist | 309 Guthrie St, Louisville, KY 40202-1813 | 2019-04-16 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1811423460 | Jillian Allison Teslow Rickertsen | Podiatrist | 734 W Main St Ste 100, Louisville, KY 40202-3687 | 2017-05-02 |
| 1992239214 | Nathaniel Winters | Podiatrist | 6801 Dixie Hwy Ste 134, Louisville, KY 40258-3952 | 2017-04-13 |
| 1992188437 | Brett P Vessell | Podiatrist | 4119 Browns Ln Ste 2, Louisville, KY 40220-1500 | 2015-07-01 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1093085367 | Ann Wolford | Podiatrist | 1850 Westen St, Bowling Green, KY 42104 | 2012-01-04 |
| 1740575653 | Harpreet S Minhas | Podiatrist | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2011-06-20 |
| 1528375821 | Cumberland Foot and Ankle Center | Podiatrist | 49 Medical Loop, Whitley City, KY 42653-0000 | 2010-09-08 |
| 1760798045 | Cumberland Foot and Ankle Center | Podiatrist | 49 Gregory St, Monticello, KY 42633-2407 | 2010-08-25 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on DR. SHERYL L HANAWALT.
| 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.