DR. MATTHEW HARVEY HANNA (NPI# 1962476531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962476531 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW HARVEY HANNA |
| Credential | M.D. |
| Practice Address |
2901 W Kinnickinnic River Pkwy Ste 413 Milwaukee WI 53215-3660 |
| Mailing Address |
2514 S 102nd St Suite 120 West Allis WI 53227-2142 |
| Practice Telephone | 4143837744 |
| Practice Fax Number | 4143838089 |
| Mailing Telephone | 4147775200 |
| Mailing Fax Number | 4147775210 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25834 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30601000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427675 | Matthew Aziz Faheim Hanna | Family Medicine | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-16 |
| 1801456884 | Matthew Hanna | Student in an Organized Health Care Education/Training Program | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2019-06-20 |
| 1336405349 | Matthew George Hanna | Pathology | 1275 York Ave, Dept of Pathology, New York, NY 10065 | 2012-04-03 |
| 1750608782 | Matthew Alfred Hanna | Dentist | 80 Maple Ave, Suite 206, Smithtown, NY 11787-3520 | 2010-04-30 |
| 1932133386 | Matthew T Hanna | Internal Medicine | 108 Centre St, Bath, ME 04530-2550 | 2006-07-10 |
| 1063405942 | Matthew Bryan Hanna | Physician Assistant | 192 Lindquist Rd, Bldg 412, Ft Stewart, GA 31314-5122 | 2005-08-26 |
| Street Address |
2901 W KINNICKINNIC RIVER PKWY STE 413 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467426064 | Manohar Ahuja | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-02-13 |
| 1780187658 | Chelsea Rae Derocha-cavalea | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2018-03-16 |
| 1538528336 | Adam Conlin | Registered Nurse | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2016-02-22 |
| 1952779712 | Jacqueline N Hale | Physician Assistant | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2015-09-10 |
| 1760805378 | Jessica F Goelz | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2014-02-03 |
| 1982763405 | Milwaukee Nephrologists, S.c. | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-12-08 |
| 1295809036 | Kevin P. Tucker | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-11-20 |
| 1992727259 | Mary Margaret Keller | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-07-24 |
| 1144279332 | Andrew J. Olafsson | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-05-08 |
| 1679548135 | Ahmed Malik | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1477186922 | Sydney Kemps | Internal Medicine | 507 N 17th St, Milwaukee, WI 53233-5495 | 2020-02-12 |
| 1841426798 | Wisconsin Vascular Access and Nephrology | Internal Medicine | 1962 N Prospect Ave # 310, Milwaukee, WI 53202-1414 | 2009-06-05 |
| 1699975193 | Dawn Wolfgram | Internal Medicine | 5000 W National Ave # Cc-111k, Milwaukee, WI 53295-1000 | 2007-07-23 |
| 1366657710 | Deepak Sharma | Internal Medicine | 7797 W Appletone Ave, Milwaukee, WI 53222 | 2007-05-11 |
| 1053386862 | Paul George Jenkins | Internal Medicine | 1575 Rivercenter Dr, Ste 104, Milwaukee, WI 53212 | 2006-02-23 |
| 1366416778 | Milwaukee Kidney Associates Sc | Internal Medicine | 1575 River Center Dr, Ste 104, Milwaukee, WI 53212 | 2006-02-14 |
| 1467426064 | Manohar Ahuja | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-02-13 |
| 1427032960 | Debesh Chandra Mazumdar | Internal Medicine | 1575 N Rivercenter Dr, Suite 104, Milwaukee, WI 53212-3978 | 2005-11-29 |
| 1588656573 | Lubna Majeed-haqqi | Internal Medicine | 7793 W Appleton Ave, Milwaukee, WI 53222-2009 | 2005-08-17 |
| 1487646477 | Paul J Warren | Internal Medicine | 3120 South 27th Street, Milwaukee, WI 53215 | 2005-08-17 |
| Find all providers in MILWAUKEE | ||||
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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.