DR. PHILIP HENRY HANNEMAN (NPI# 1356788202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356788202 |
| Entity Type | Individual |
| Full Name | DR. PHILIP HENRY HANNEMAN |
| Credential | M.D. |
| Practice Address |
463 Bmh Physicians Office Bldg Maryville TN 37804-5807 |
| Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
| Practice Telephone | 8659805100 |
| Practice Fax Number | 8659805105 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
61011 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
61011 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
463 BMH PHYSICIANS OFFICE BLDG |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047745 | Ernest Andrew Waller | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2005-10-19 |
| 1871003996 | Abby Sadie Hamilton | Nurse Practitioner | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2017-10-03 |
| 1821450750 | Brandon L. Mclin | Physician Assistant | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2016-03-21 |
| 1891067070 | John Paul Johnson | Physician Assistant | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2012-02-02 |
| 1629392410 | Robert M. Jones | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2010-03-23 |
| 1184803603 | Susan D Orr | Physician Assistant | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2007-11-01 |
| 1548347669 | Lewis C Sommerville | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-11-01 |
| 1891872982 | Bruce T Roberts | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-11-01 |
| 1538182779 | Michael P Ramos | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-07-26 |
| 1982644704 | Ousama Dabbagh | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083838569 | Midwest Acute Care Consultants PC | Internal Medicine | 6812 State Route 162 Ste 202, Maryville, IL 62062-8562 | 2007-04-13 |
| 1548347669 | Lewis C Sommerville | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-11-01 |
| 1891872982 | Bruce T Roberts | Internal Medicine | 463 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035774 | East Tennessee Pulmonary and Sleep Medicine | Internal Medicine | 1404 Tusculum Blvd Ste 2200, Greeneville, TN 37745-4395 | 2020-02-20 |
| 1043722754 | Nathan H Mull Iv LLC | Internal Medicine | 200 Sylvan Dr, Lookout Mountain, TN 37350-1630 | 2017-11-03 |
| 1639694615 | Eventa LLC | Internal Medicine | 102 W Court Sq, Livingston, TN 38570-1882 | 2017-08-10 |
| 1669903803 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 | 2017-03-21 |
| 1437502960 | Hawkins Physician Services,pllc | Internal Medicine | 1112 E Main St, Rogersville, TN 37857-2808 | 2016-07-20 |
| 1063830826 | Rachel Guthrie | Internal Medicine | 1900 N Winston Rd Ste 501, Knoxville, TN 37919-3605 | 2014-03-30 |
| 1326312091 | Theodore Feld Reiss | Internal Medicine | 1161 21st Ave South T-1218 Medical Center North, Vanderbilt University School of Medicine, Nashville, TN 37232-2650 | 2012-02-28 |
| 1699065722 | Radhika Shah | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403-3310 | 2011-04-11 |
| 1902103666 | Amanda Kay Vanlandingham | Internal Medicine | 310 N State of Franklin Rd Ste 303, Johnson City, TN 37604-6051 | 2011-02-16 |
| 1528360765 | Geraldo Enrique Holguin | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
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| 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.