MS. HANNAH LOVALLO


Address: 4103 Medical Center Dr, Fayetteville, NY 13066-6600
Phone: 3156377800

MS. HANNAH LOVALLO (NPI# 1902134216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902134216
Entity Type Individual
Full Name MS. HANNAH LOVALLO
Credential PA-C
Practice Address 4103 Medical Center Dr
Fayetteville
NY 13066-6600
Practice Telephone 3156377800
Practice Fax Number 3156377808
Mailing Telephone 3156377800
Mailing Fax Number 3156377808
Enumeration Date 2009-11-24
Last Update Date 2015-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
015364 NY Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
MA054237 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03488011 05

Office Location

Street Address 4103 MEDICAL CENTER DR
City FAYETTEVILLE
State NY
Zip Code 13066-6600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396748414 Andrew L Finley Emergency Medicine 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2005-05-23
1689191736 Emily M Marris Physician Assistant 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2017-08-29
1225397805 Sarah Kathryn Leo Registered Nurse 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2012-05-16
1386811545 Renee Anne Ryan Emergency Medicine 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2008-05-15
1487852851 Mark A Profetto Nurse Practitioner 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2007-07-06
1790819126 Anita D O'malley Physician Assistant 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2007-03-15
1144367749 Nerissa Ann Jackson Physician Assistant 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2007-01-31
1841206356 Linda M Goff Nurse Practitioner 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2006-08-01
1215990536 Stephen J Jackowski Physician Assistant 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2006-04-08
1740283829 Audrey A Mathis Registered Nurse 4103 Medical Center Dr, Fayetteville, NY 13066-6600 2005-05-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457819963 Word Wellness Center, LLC Psychologist 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 2019-03-05
1629529060 Lorna Boyer Chase Marriage & Family Therapist 109 White Heron Circle, Fayetteville, NY 13066 2016-10-20
1699221432 Roman Batyuk Nurse Practitioner 4100 Medical Center Drive, Fayetteville, NY 13066 2016-08-31
1427405133 National Eye Care, Inc Optometrist 5160 Kinloch Circle, Fayetteville, NY 13066 2016-05-23
1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
1689815805 Menorah Park Group Residents Clinic/Center 12 Jamar Drive, Dewitt, NY 13066 2009-03-18
1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
1629232418 Tucker Martin Harris Otolaryngology 4000 Medical Center Dr # 117, Fayetteville, NY 13066 2008-07-11
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245860618 Robert Maughan Physician Assistant 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 2020-01-24
1578050480 Marlee Anne Fallon Physician Assistant 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066-6626 2018-04-16
1285149781 Rebecca Anderson Physician Assistant 413 Owen Dr Ste 201, Fayetteville, NC 28304-3490 2017-12-06
1750807186 Julia Niemi Physician Assistant 2409 Murchison Rd # B, Fayetteville, NC 28301-3519 2017-08-17
1548709991 Pallavi Annamaneni Physician Assistant 2149 Valleygate Dr Ste 102, Fayetteville, NC 28304-3666 2017-02-17
1124457650 Amanda Warden Physician Assistant 89 Cowley Hollow Rd, Fayetteville, TN 37334-6947 2013-11-05
1639473739 Andrea Bethauser Physician Assistant 918 Hope Mills Rd, Fayetteville, NC 28304-4243 2011-01-04
1891928941 Gladys Maria Rivero Physician Assistant 3450 Sandystone Cir, Fayetteville, NC 28311-2503 2009-08-24
1366524092 Lisa Aldrin Rojeski Physician Assistant 4038 N Remington Dr, Suite 4, Fayetteville, AR 72703-6345 2006-10-20
1902829039 Michael John Winn Physician Assistant 5511 Raeford Road, Suite 150, Fayetteville, NC 28304-2058 2006-07-26
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Competitor

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City FAYETTEVILLE
Zip Code 13066

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Dataset Information

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.

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