DR. LARRY STEVEN HAHN (NPI# 1619911609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619911609 |
| Entity Type | Individual |
| Full Name | DR. LARRY STEVEN HAHN |
| Credential | D.O. |
| Practice Address |
339 E Street Rd Trevose PA 19053-7711 |
| Practice Telephone | 2675748100 |
| Practice Fax Number | 2675748111 |
| Mailing Telephone | 2675748100 |
| Mailing Fax Number | 2675748111 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS004862L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 197662 | 01 |
| PA | 0894842 | 05 |
| Street Address |
339 E STREET RD |
| City | TREVOSE |
| State | PA |
| Zip Code | 19053-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013452457 | Carley Erin Goldman | Physician Assistant | 339 E Street Rd, Trevose, PA 19053-7711 | 2016-12-20 |
| 1861883167 | Kristina Potteiger | Physician Assistant | 339 E Street Rd, Trevose, PA 19053-7711 | 2015-02-09 |
| 1619366192 | Laura Lynne Jennings | Physician Assistant | 339 E Street Rd, Trevose, PA 19053-7711 | 2015-01-21 |
| 1184984809 | Pinnacle Physicians Group LLC | Custodial Care Facility | 339 E Street Rd, Trevose, PA 19053-7711 | 2012-05-29 |
| 1528128824 | Stoltz and Hahn Medical Assoiciates | Family Medicine | 339 E Street Rd, Trevose, PA 19053-7711 | 2006-12-10 |
| 1407885924 | Brad Stoltz | Family Medicine | 339 E Street Rd, Trevose, PA 19053-7711 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1881181410 | Linda S Linden | Massage Therapist | 333 Steele Rd, Feasterville, PA 19053 | 2018-04-19 |
| 1336671619 | Marsela Ismailanji | Behavioral Analyst | 4 Neshaminy Interplex Drive, Suite 202, Trevose, PA 19053 | 2017-03-28 |
| 1194189019 | Kathleen A Gant | Nurse Practitioner | 4829 Street Rd, Trevose, PA 19053 | 2016-04-06 |
| 1801263165 | Kristi Ann Wert | Nurse Practitioner | 4829 E. Street Rd, Trevose, PA 19053 | 2015-08-21 |
| 1841675113 | Marlene Lisa Levis | Pharmacist | 176 West Street Road, Feasterville, PA 19053 | 2015-07-28 |
| 1578802229 | Colleen Joan Garneau | Registered Nurse | 2500 N Gate Rd, Trevose, PA 19053 | 2013-01-31 |
| 1225306376 | Michael J Fanelli | Pharmacist | 2 E. Street Rd, Feasterville, PA 19053 | 2011-12-05 |
| 1053689125 | Yuliya Peskin | Pharmacist | 2 E Street Road, Walgreens, Feasterville, PA 19053 | 2011-12-05 |
| 1891000584 | Justin T Jiunta | Physical Therapist | 1040 Mill Creek Drive, Feasterville, PA 19053 | 2010-08-18 |
| Find all providers in zip 19053 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1639625809 | Gina Slobogin | Family Medicine | 400 Cherry Tree Rd, Upper Chichester, PA 19014-2406 | 2016-08-28 |
| 1134536238 | Kristina Marie Newcomer | Family Medicine | 496 Shelleys Ln, Etters, PA 17319-9412 | 2014-07-21 |
| 1811317886 | Paul Nweze Madubuonwu | Family Medicine | 4 Foster Plz, 501 Holiday Drive, Pittsburgh, PA 15220-2749 | 2014-04-17 |
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1275896383 | Louis Bell | Family Medicine | 322 Linden Drive, Elkins Park, PA 19027-1342 | 2012-06-22 |
| 1538433040 | Ramona Chube, M.d.,p.c. | Family Medicine | 7700-a Stenton Ave, Philadelphia, PA 19118-3103 | 2012-03-01 |
| 1578835799 | Gordon Thomas Fletcher | Family Medicine | 128 Guillard Rd, Prospect, PA 16052-2702 | 2012-02-03 |
| 1548568157 | Philip Edward Shoaf | Family Medicine | 4074 Market St, Birmingham, PA 16686-5004 | 2011-03-06 |
| 1316257884 | Theodore P. Burger | Family Medicine | 3370 Woodbridge Cir, Bethlehem, PA 18017-1736 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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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.