PETER HANNON (NPI# 1811943335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811943335 |
Entity Type | Individual |
Full Name | PETER HANNON |
Credential | DO |
Practice Address |
1000 East Mountain Blvd Wilkes Barre PA 18711-3478 |
Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
Practice Telephone | 5708087856 |
Practice Fax Number | 5708081069 |
Mailing Telephone | 5702716144 |
Mailing Fax Number | 5702716578 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-08-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | OS007131L | PA | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
195753 | NY | Allopathic & Osteopathic Physicians |
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
OS-007131-L | PA | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | OS007131L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | GEISINGER | 1689 | 01 |
PA | KEYSTONE HEALTH PLAN | 50073483 | 01 |
PA | HIGHMARK BLUE SHIELD | HA425022 | 01 |
PA | CAPITAL BLUE CROSS | 50073483 | 01 |
PA | 0013918390006 | 05 | |
PA | TRICARE | 232809429008 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346483617 | Peter M. Hannon | Psychiatry & Neurology | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2009-04-15 |
Street Address |
1000 EAST MOUNTAIN BLVD |
City | WILKES BARRE |
State | PA |
Zip Code | 18711-3478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518961374 | Sreehari Cherukuri | Internal Medicine | 1000 East Mountain Blvd, Wilkes Barre, PA 18711 | 2005-06-09 |
1316493067 | Joseph Bigatel | Nurse Anesthetist, Certified Registered | 1000 East Mountain Blvd, Wilkes Barre, PA 18702-2234 | 2016-08-31 |
1730508326 | Abdullah Wafa | Surgery | 1000 East Mountain Blvd, Gmg Wilkes Barre Critical Care, Wilkes Barre, PA 18711 | 2014-04-10 |
1013342229 | Passang Dolma | Hospitalist | 1000 East Mountain Blvd, Wilkes Barre, PA 18711-3539 | 2013-09-06 |
1447487491 | Raghava Reddy Levaka Veera | Internal Medicine | 1000 East Mountain Blvd, Wilkes Barre, PA 18711-3486 | 2009-06-17 |
1548431497 | Eduardo Moroni | Nuclear Medicine | 1000 East Mountain Blvd, Wilkes Barre, PA 18711-3446 | 2008-03-19 |
1194994459 | Eugenia Hopkins | Physician Assistant | 1000 East Mountain Blvd, Geisinger Wyoming Valley Cardiology Department, Wilkes Barre, PA 18711 | 2008-02-20 |
1013128099 | Natasha Sarkari Becker | Surgery | 1000 East Mountain Blvd, Wilkes Barre, PA 18711-3762 | 2007-05-24 |
1699898858 | Jeffrey A. Gindi | Internal Medicine | 1000 East Mountain Blvd, Wilkes Barre, PA 18711-3539 | 2007-04-10 |
1114043692 | Michael Trakas | Anesthesiology | 1000 East Mountain Blvd, Wilkes Barre, PA 18711-3475 | 2007-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
Find all providers in zip 18711 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1891341673 | Cory Balko | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-08-16 |
1033504097 | Rayhan Shariff | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2015-04-06 |
1407264294 | Lawrence Milbourne Matthews IIi | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2014-07-24 |
1508284241 | Carl Nieweld | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2014-03-31 |
1063854644 | Lakshmi Neeharika Saladi | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2013-07-23 |
1740544949 | Daryl R Connolly | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2012-07-02 |
1780617886 | Karim Djekidel | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-07-09 |
1568438794 | Angela M. Deantonio | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2006-02-27 |
1699777235 | Alvin Kumar Sharma | Internal Medicine | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2005-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891318291 | Advanced Pulmonary & Sleep Assoicates, P.C. | Internal Medicine | 795 E Marshall St Ste 304, West Chester, PA 19380-4400 | 2020-05-20 |
1689213043 | Danielle C Velazquez | Internal Medicine | 490 E North Ave Ste 303, Pittsburgh, PA 15212-4740 | 2020-01-03 |
1386295756 | St Clair Medical Services Inc | Internal Medicine | 1050 Bower Hill Rd Ste 306, Pittsburgh, PA 15243-1870 | 2019-09-26 |
1588180673 | Critical Care Medicine Services LLC | Internal Medicine | 1930 S Broad St Unit 12, Philadelphia, PA 19145-2328 | 2017-08-21 |
1285019497 | Lancaster Medical Group, LLC | Internal Medicine | 233 College Ave Ste 201, Lancaster, PA 17603-3384 | 2015-07-29 |
1073932265 | Nicholas Cheronis | Internal Medicine | 490 E North Ave Ste 305, Pittsburgh, PA 15212-4740 | 2014-04-15 |
1811316672 | Christopher Mcgrath | Internal Medicine | 834 Walnut St Ste 605, Philadelphia, PA 19107-5109 | 2014-04-09 |
1578811352 | Rihab S Sharara | Internal Medicine | 3459 Fifth Avenue, Nw628, University of Pittsburgh Physicians, Division of Pulmon, Pittsburgh, PA 15213 | 2012-08-27 |
1528323755 | Kartik Ramakrishna | Internal Medicine | 245 N 15th St # Ms 107, Philadelphia, PA 19102-1198 | 2012-07-13 |
1629341771 | Sushruta Duara Cerejo | Internal Medicine | 490 E North Ave Ste 309, Pittsburgh, PA 15212-4740 | 2012-02-21 |
Find all providers with the same taxonomy |
City | WILKES BARRE |
Zip Code | 18711 |
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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.