Provider Demographics
NPI:1467589853
Name:HAMMELL, EUGENE JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:JOHN
Last Name:HAMMELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 E MCMURRAY RD
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2963
Mailing Address - Country:US
Mailing Address - Phone:724-942-3202
Mailing Address - Fax:724-942-4377
Practice Address - Street 1:242 E MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2963
Practice Address - Country:US
Practice Address - Phone:724-942-3202
Practice Address - Fax:724-942-4377
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031675E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E62841Medicare UPIN
PA544064Medicare PIN