CASEY MARIE HANABURGH RPA-C NPI 1699740522

NPI Information

NPI: 1699740522
Provider Name: CASEY MARIE HANABURGH, RPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: STRONG MEDICAL GROUP

PECOS Registration: Yes

Address:
2081 W RIDGE RD
SUITE 205
ROCHESTER, NY
ZIP 14626
Phone: (585) 227-4560
Get Directions

Casey Marie Hanaburgh, RPA-C is a medical physician assistant in Rochester, NY with 23 years of experience. Casey Marie Hanaburgh, RPA-C NPI is 1699740522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2081 W RIDGE RD
SUITE 205
ROCHESTER, NY
ZIP 14626-724
Phone: (585) 227-4560
Fax: (585) 227-4608

The NPI 1699740522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 7/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	008298-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P669250	MEDICARE UPIN	NEW YORK
2	DD2243	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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