Provider Demographics
NPI:1407841539
Name:HAMMER, HOWARD MARC (DO)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:MARC
Last Name:HAMMER
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:127 CRESTVIEW PARK DR STE 209
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2856
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:
Practice Address - Street 1:125 CRESTVIEW PARK DR STE 2
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2853
Practice Address - Country:US
Practice Address - Phone:615-446-1370
Practice Address - Fax:615-560-5998
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009577L207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA912785OtherINTERCOUNTY
PA912785OtherAMERIHEALTH
PA232558450OtherINTERGROUP
PA7543538001OtherCIGNA
PAP2821925OtherOXFORD HEALTH
PA232558450OtherBSNJ
PAHA1356733OtherBLUE SHIELD PA
PA2886295OtherUSHC
PAP00065374OtherRAILROAD MEDICARE
PA912785OtherINTERCOUNTY
PA232558450OtherINTERGROUP
PA2886295OtherUSHC
PA7543538001OtherCIGNA
PA912785OtherAMERIHEALTH
PA1979457OtherFIRST HEALTH
PA912785OtherINTERCOUNTY
PA912785OtherAMERIHEALTH