Active NPIIndividual provider

Katy-Ann E Hannigan, DO

Pediatrics in Gardner, Massachusetts

NPI Number1558351635
Practice location
250 Green St, Suite 212, Gardner, MA 01440-1396
Fax
855-248-9859
Last updated
November 16, 2020

Katy-Ann E. Hannigan is a Pediatrics based in Gardner, MA. Katy-Ann E. Hannigan practices in Gardner, MA and has the professional credentials of DO. The NPI Number for Katy-Ann E. Hannigan is 1558351635 and holds a License No. 219096 (MA). The current practice location address for Katy-Ann E. Hannigan is 250 Green St, Suite 212, Gardner, MA 01440-1396 and can be reached out via phone at 978-630-5030 and via fax at 855-248-9859.

Provider Profile Details

NPI Number
1558351635
Provider Name
Katy-Ann E. Hannigan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
250 Green St, Suite 212, Gardner, MA 01440-1396
Phone Number
978-630-5030
Fax Number
855-248-9859
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
October 28, 2005
Last Update Date
November 16, 2020
Certification Date
November 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Green St
Suite 212
Gardner, MA 01440-1396
Zip
01440-1396
Phone Number
978-630-5030
Fax Number
855-248-9859
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
250 Green St
Ste 110
Gardner, MA 01440-1377
City
Gardner
State
MA
Zip
01440-1377
Phone Number
978-630-5030

License Information

License Number (1)
219096
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X · Primary
License Number (2)
219096
License State (2)
MA
Taxonomy (2)
Hospitalist · 208M00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katy-Ann E Hannigan, DO?

The NPI number of Katy-Ann E Hannigan, DO is 1558351635. It was assigned on October 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Katy-Ann E Hannigan, DO?

Katy-Ann E Hannigan, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 219096.

Where does Katy-Ann E Hannigan, DO practice?

The practice location is 250 Green St, Suite 212, Gardner, MA 01440-1396. The office can be reached at 978-630-5030 (phone) or 855-248-9859 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558351635 directly on the NPPES registry website.

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