MR. STEPHEN M. HANNA (NPI# 1710376173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710376173 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN M. HANNA |
| Credential | RPA-C |
| Practice Address |
10506 S. Riva Ridge Rd. Fort Drum NY 13602 |
| Practice Telephone | (315) 772-2778 |
| Practice Fax Number | 3157722788 |
| Mailing Telephone | (315) 772-2778 |
| Mailing Fax Number | 3157722788 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 020702 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4 Fuller St, Alexandria Bay, NY 136071316 | 3154822511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841379153 | Stephen Chester Hanna | Chiropractor | 617 S Tamiami Trail, Venice Chiropractic Clinic, Venice, FL 34285-3237 | 2006-11-06 |
| 1164535894 | Stephen R Hanna Jr. | Specialist | 522 Idlewild Ave, Easton, MD 21601-3824 | 2006-08-16 |
| Street Address |
10506 S. RIVA RIDGE RD. |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609429075 | Kelly Gregorio | Physician Assistant | Conner Troop Medical Clinic, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 | 2019-07-24 |
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1871035824 | Sarah Erickson | Physician Assistant | 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2016-11-08 |
| 1245642156 | Michael Hunt | Physician Assistant | S. Riva Ridge Loop, Conner Troop Medical Clinic, Bldg 10506a, Fort Drum, NY 13602 | 2014-05-27 |
| 1528482817 | April Joy Argana Rivers | Physician Assistant | P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2014-02-07 |
| 1053676114 | Christopher Michael Mueller | Physician Assistant | 10310 North Riva Ridge Loop, Bldg: 10310, Fort Drum, NY 13602-5110 | 2012-07-05 |
| 1831458116 | Gonzalo De Taboada | Physician Assistant | 10519 Euphrates River Valley Road, Fort Drum, NY 13602 | 2012-05-08 |
| 1194091876 | David M Chavez | Physician Assistant | 31 In Bn 04 In Bn Ibct, Fort Drum, NY 13602 | 2012-03-28 |
| Find all providers in FORT DRUM | ||||
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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.