Kevin D Hannah (NPI# 1548244478, PAC ID# 3779510797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1548244478 |
| PAC ID by PECOS | 3779510797 |
| Professional Enrollment ID | I20141010000661 |
| Full Name | Kevin D Hannah |
| Organization Legal Name | SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY |
| Address |
213 E Redwood Hospital Sallisaw OK 74955-2811 |
| Phone Number | 9187741100 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 1759282239 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370112 | SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT |
| Address | Phone | Organization |
|---|---|---|
| 213 E Redwood Hospital, Sallisaw, OK 74955-2811 | 9187741100 | SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY |
| Organization Legal Name | SEQUOYAH COUNTY CITY OF SALLISAW HOSPITAL AUTHORITY |
| Physicians | 1 |
| Street Address |
213 E REDWOOD HOSPITAL |
| City | SALLISAW |
| State | OK |
| Zip | 74955-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Bergstrom | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Michael D Coleman Jr. | Internal Medicine | Mercy Clinic Fort Smith Communities | 213 E Redwood Ave, Sallisaw, OK 74955-2811 |
| Austin Tanner Brookover | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Jason A Mcelyea | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| John A Carlisle | General Surgery | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Eric A Amberson | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Michael John Boger | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Rafe M Coker | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Billy J. Buffington | Emergency Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Andrew S Ryals | Family Medicine | Ess of Salisaw, LLC | 213 E Redwood, Sallisaw, OK 74955-2811 |
| Find all physicians in zip 74955 | |||
| City | SALLISAW |
| Zip Code | 74955 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | SALLISAW + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Kevin D Hannah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.