Elijah Livingston Hanna (NPI# 1164855086, PAC ID# 9537462916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164855086 |
| PAC ID by PECOS | 9537462916 |
| Professional Enrollment ID | I20171006001470 |
| Full Name | Elijah Livingston Hanna |
| Organization Legal Name | SUSQUEHANNA PHYSICIAN SERVICES |
| Address |
610 High St Lock Haven PA 17745-3031 |
| Phone Number | 5707481260 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2264336460 |
| Number of Group Practice Members | 358 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390045 | WILLIAMSPORT REGIONAL MEDICAL CENTER |
| 390071 | LOCK HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Outlet Ln, Suite 400, Lock Haven, PA 17745-7815 | 5707691300 | SUSQUEHANNA PHYSICIAN SERVICES |
| 610 High St, Lock Haven, PA 17745-3031 | 5707481260 | SUSQUEHANNA PHYSICIAN SERVICES |
| Organization Legal Name | SUSQUEHANNA PHYSICIAN SERVICES |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn M Morton | Otolaryngology | Susquehanna Physician Services | 1705 Warren, 205 Suite U4 Susquehanna Health Ent, Williamsport, PA 17701-2647 |
| Suarna Mehulic | Hospitalist | Susquehanna Physician Services | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| Michael Pearl | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Georgios Klironomos | Neurosurgery | Susquehanna Physician Services | 740 High St, Suite 3002, Williamsport, PA 17701-3102 |
| Andrew Boiywo | Nurse Practitioner | Susquehanna Physician Services | 1705 Warren Ave, Suite 206, Williamsport, PA 17701-2664 |
| Ashokkumar H Gaba | Hospitalist | Susquehanna Physician Services | 700 High St, Williamsport, PA 17701-3100 |
| Steven A Barrows | Family Medicine | Susquehanna Physician Services | 10 Shady Ln, Suite 101, Muncy, PA 17756-8807 |
| Steven M Hawley | Podiatry | Susquehanna Physician Services | 1100 Grampian Blvd, Williamsport, PA 17701-1909 |
| Jennifer R Rager | Otolaryngology | Susquehanna Physician Services | 330 N 12th St, Suite D Community Care Ear Nose and Throat, Sunbury, PA 17801-1654 |
| Nathaniel David Hare | Allergy/immunology | Susquehanna Physician Services | 451 River Ave, Williamsport, PA 17701-3722 |
| Street Address |
610 HIGH ST |
| City | LOCK HAVEN |
| State | PA |
| Zip | 17745-3031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Pearl | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Colby Welshans | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Karinne Elizabeth Santonico | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Sarah L Mcelroy | Family Medicine | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Laura May Smith | Family Medicine | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Carrie A Timko | Family Medicine | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Chelsea M Macnamara | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| John Vincent Hanna | Physician Assistant | Susquehanna Physician Services | 610 High St, Lock Haven, PA 17745-3031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Von P Wise | Chiropractic | 5 W Main St, Lock Haven, PA 17745-1243 | |
| Rodney Gene Shaffer | Chiropractic | 62 E Church St, Lock Haven, PA 17745-2023 | |
| Praful U Bhatt | Pediatric Medicine | 72 E Church St, Lock Haven, PA 17745-2023 | |
| Richard G Stuempfle | Podiatry | 36 E Church St, Lock Haven, PA 17745-2556 | |
| Suarna Mehulic | Hospitalist | Susquehanna Physician Services | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| Kevin Allan Mishock | Emergency Medicine | Lock Haven Emergency Physicians Pllc | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| John Robert Hunter | Podiatry | Susquehanna Physician Services | 24 Cree Dr, Fl 3, Lock Haven, PA 17745-2639 |
| James Mcgee | Emergency Medicine | Lock Haven Emergency Physicians Pllc | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| Gordon A Haskell | Family Medicine | Lock Haven Emergency Physicians Pllc | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| Robert M Kraus | Emergency Medicine | Lock Haven Emergency Physicians Pllc | 24 Cree Dr, Lock Haven, PA 17745-2639 |
| Find all physicians in zip 17745 | |||
| City | LOCK HAVEN |
| Zip Code | 17745 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOCK HAVEN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Elijah Livingston Hanna.
| 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.