OrganizationActive
Casey Hanna MD Professional Corporation
NPI 1003099276 · Family Medicine Physician · Wagoner, OK
Provider details
- NPI number
- 1003099276
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Hanna, Owner(918) 485-5188
- License
- 21947 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1202 W Cherokee St Ste E
Wagoner, OK 74467-4629
Phone: (918) 485-5188
Fax: (915) 485-5402
Street-level locationGet directions
Mailing address
Po Box 894
Wagoner, OK 74477-0894
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2009-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.