Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MARK R HANABURY JR.
Active
Individual
MARK R HANABURY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101031266
VA
207Y00000X
Otolaryngology Physician
Primary
0101031266
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010083621
—
VA
01
—
1000135
UNITED HEALTH
—
05
—
1134121338
—
VA
01
—
143175
ANTHEM
—
01
—
243144
SOUTHERN HEALTH
—
01
—
4243474
AETNA
—
01
—
TN0101
JOHN DEERE
—
Enumeration date
06/01/2005
Last updated
12/15/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers