Eric T Hanhan (NPI# 1245688878, PAC ID# 9032401526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1245688878 |
PAC ID by PECOS | 9032401526 |
Professional Enrollment ID | I20180718003193 |
Full Name | Eric T Hanhan |
Organization Legal Name | LAKE VIEW MEMORIAL HOSPITAL, INCORPORATED |
Address |
1010 4th St Two Harbors MN 55616-1200 |
Phone Number | 2188347700 |
Gender | M |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 2016 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9032002688 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241308 | LAKE VIEW MEMORIAL HOSPITAL |
240047 | ST LUKES HOSPITAL |
Address | Phone | Organization |
---|---|---|
1010 4th St, Two Harbors, MN 55616-1200 | 2188347700 | LAKE VIEW MEMORIAL HOSPITAL, INCORPORATED |
325 11th Ave, Two Harbors, MN 55616-1300 | 2188347300 | LAKE VIEW MEMORIAL HOSPITAL, INCORPORATED |
Organization Legal Name | LAKE VIEW MEMORIAL HOSPITAL, INCORPORATED |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Howard Y Josephs | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Thomas A Peterson | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Sarah J Nord | Nurse Practitioner | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Kristin D Winterer | Certified Registered Nurse Anesthetist (crna) | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Kelsey M Schultz | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Elizabeth A Feist | Family Medicine | Lake View Memorial Hospital, Incorporated | 325 11th Ave, Two Harbors, MN 55616-1300 |
Shawn P Mcmahon | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Laura A Hase | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Debbie A Allert | Family Practice | Lake View Memorial Hospital, Incorporated | 325 11th Ave, Two Harbors, MN 55616-1300 |
Street Address |
1010 4TH ST |
City | TWO HARBORS |
State | MN |
Zip | 55616-1200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Howard Y Josephs | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Thomas A Peterson | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Sarah J Nord | Nurse Practitioner | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Kristin D Winterer | Certified Registered Nurse Anesthetist (crna) | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Kelsey M Schultz | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Shawn P Mcmahon | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Laura A Hase | Family Medicine | Lake View Memorial Hospital, Incorporated | 1010 4th St, Two Harbors, MN 55616-1200 |
Name | Specialty | Organization | Address |
---|---|---|---|
John W Pepelnjak Iii | Chiropractic | 408 17th Ave, Two Harbors, MN 55616-1250 | |
Cory S Thomas | Chiropractic | 408 17th Ave, Two Harbors, MN 55616-1250 | |
Jeremy D Perrett | Clinical Social Worker | Human Development Center | 325 11th Ave, Two Harbors, MN 55616-1300 |
Hannah C Waterman | Clinical Social Worker | Human Development Center | 325 11th Ave, Two Harbors, MN 55616-1300 |
Elizabeth A Feist | Family Medicine | Lake View Memorial Hospital, Incorporated | 325 11th Ave, Two Harbors, MN 55616-1300 |
Debbie A Allert | Family Practice | Lake View Memorial Hospital, Incorporated | 325 11th Ave, Two Harbors, MN 55616-1300 |
Debra R Ellison | Clinical Social Worker | Human Development Center | 629 1st Ave, Two Harbors, MN 55616-1505 |
Christine M Oliver-kneebone | Clinical Social Worker | 120 7th St, Suite 102, Two Harbors, MN 55616-1563 | |
Derin J Vanloon | Optometry | Derin J Van Loon Od Pa | 802 11th St, Suite 1, Two Harbors, MN 55616-1669 |
Amy L Phipps-poe | Physical Therapy | Bodies In Balance of Two Harbors, Inc. | 1451 Hwy 2, Two Harbors, MN 55616-4600 |
Find all physicians in zip 55616 |
City | TWO HARBORS |
Zip Code | 55616 |
Specialty | FAMILY MEDICINE |
City + Specialty | TWO HARBORS + FAMILY MEDICINE |
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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.