Provider Demographics
NPI:1790704054
Name:HAMANN, CHRISTOPHER (PA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:HAMANN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SOUTH AVE
Mailing Address - Street 2:ORTHOPAEDICS-HIGHLAND HOSPITAL
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2733
Mailing Address - Country:US
Mailing Address - Phone:585-341-6322
Mailing Address - Fax:585-341-8282
Practice Address - Street 1:1000 SOUTH AVE
Practice Address - Street 2:ORTHOPAEDICS-HIGHLAND HOSPITAL
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2733
Practice Address - Country:US
Practice Address - Phone:585-341-6322
Practice Address - Fax:585-341-8282
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008860363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02364854Medicaid
NYPA0301OtherPREFERRED CARE
P77415Medicare UPIN
DD4007Medicare ID - Type Unspecified