Carolyn Hanrahan (NPI# 1093166738, PAC ID# 3779879564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093166738 |
| PAC ID by PECOS | 3779879564 |
| Professional Enrollment ID | I20160902000851 |
| Full Name | Carolyn Hanrahan |
| Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Address |
7601 W Jefferson Blvd Fort Wayne IN 46804-4133 |
| Phone Number | 2604368686 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618965286 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150168 | THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR |
| 150150 | DUPONT HOSPITAL LLC |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
| 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
| 7631 W Jefferson Blvd, The Imaging Center, Fort Wayne, IN 46804-4133 | 2604367770 | FORT WAYNE ORTHOPAEDICS, LLC |
| Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip C Penny | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 605 N Walnut St, North Manchester, IN 46962-1857 |
| Abigail Vanlaningham | Physician Assistant | Fort Wayne Orthopaedics, LLC | 3270 Intertech Dr, Angola, IN 46703-7325 |
| Matthew A Bohren | Physician Assistant | Fort Wayne Orthopaedics, LLC | 217 W Wayne St, Fort Wayne, IN 46802-3605 |
| Hope E Royce | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Gage M Caudell | Podiatry | Fort Wayne Orthopaedics, LLC | 208 N Columbus St, Hicksville, OH 43526-1250 |
| Brian T Laursen | Physician Assistant | Fort Wayne Orthopaedics, LLC | 701 Orthopaedic Dr, Suite 100, Warsaw, IN 46582-3905 |
| Jonathan D Detommaso | Podiatry | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Ian R Nelson | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 |
| John Paul Magno Manalo | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Alex Villavicencio | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Street Address |
7601 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hope E Royce | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Jonathan D Detommaso | Podiatry | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| John Paul Magno Manalo | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Alex Villavicencio | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Jessica A Wiedemann | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Kristy J Richardson | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Steven R Eddy | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Adam D Hall | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Gretchen L Crampton | Physician Assistant | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Joseph R Compton | Physician Assistant | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WAYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carolyn Hanrahan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.