Carl R Hannah (NPI# 1700848363, PAC ID# 8123080496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1700848363 |
| PAC ID by PECOS | 8123080496 |
| Professional Enrollment ID | I20041028001137 |
| Full Name | Carl R Hannah |
| Organization Legal Name | CHRISTIANSBURG FAMILY MEDICINE, LLC |
| Address |
6 Hickok St Christiansburg VA 24073-3524 |
| Phone Number | 5403826148 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 9931265741 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6 Hickok St, Christiansburg, VA 24073-3524 | 5403826148 | CHRISTIANSBURG FAMILY MEDICINE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CHRISTIANSBURG FAMILY MEDICINE, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Thomas | Internal Medicine | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Madiha M Kamal | Internal Medicine | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Megan C Thomas | Internal Medicine | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Heather R Bragg | Nurse Practitioner | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Street Address |
6 HICKOK ST |
| City | CHRISTIANSBURG |
| State | VA |
| Zip | 24073-3524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Thomas | Internal Medicine | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Madiha M Kamal | Internal Medicine | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Megan C Thomas | Internal Medicine | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Heather R Bragg | Nurse Practitioner | Christiansburg Family Medicine, LLC | 6 Hickok St, Christiansburg, VA 24073-3524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark W Hundley | Chiropractic | 155 Walters Dr, Christiansburg, VA 24073-1041 | |
| Jane C Hundley | Clinical Social Worker | 159 Walters Dr, Christiansburg, VA 24073-1041 | |
| Fred R Mignone | Clinical Social Worker | 159 Walters Dr, Christiansburg, VA 24073-1041 | |
| Lynne M Reece | Clinical Social Worker | 159 Walters Dr, Christiansburg, VA 24073-1041 | |
| Tamara Adelle Turpin-ghosh | Clinical Social Worker | 159 Walters Dr, Christiansburg, VA 24073-1041 | |
| Carroll W Poovey | Optometry | 2400 N Franklin St, Christiansburg, VA 24073-1088 | |
| Jennifer E Dehaven | Certified Registered Nurse Anesthetist (crna) | California Anesthesia Network Nursing Services, PC | 110 Akers Farm Rd, Christiansburg, VA 24073-1111 |
| Daryl Titus | Certified Registered Nurse Anesthetist (crna) | California Anesthesia Network Nursing Services, PC | 110 Akers Farm Rd, Christiansburg, VA 24073-1111 |
| Ireen Z Loyola | Certified Registered Nurse Anesthetist (crna) | California Anesthesia Network Nursing Services, PC | 110 Akers Farm Rd, Christiansburg, VA 24073-1111 |
| Laura J Goodrich | Certified Registered Nurse Anesthetist (crna) | California Anesthesia Network Nursing Services, PC | 110 Akers Farm Rd, Christiansburg, VA 24073-1111 |
| Find all physicians in zip 24073 | |||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | CHRISTIANSBURG + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Carl R 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.