DR. ETHAN ANDREW HACKER MD NPI 1124557301

NPI Information

NPI: 1124557301
Provider Name: DR. ETHAN ANDREW HACKER, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4742
Get Directions

DR. Ethan Andrew Hacker, MD is a cardiovascular disease internal medicine in Oklahoma City, OK. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Ethan Andrew Hacker, MD NPI is 1124557301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK
ZIP 73104-018
Phone: (405) 271-4742

The NPI 1124557301 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 6/9/2017 and was last updated on 5/11/2020.

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	207R00000X	Internal Medicine		94-09160	KANSAS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	35503	OKLAHOMA	Yes

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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