IndividualActive
Jason Hanna, MD
NPI 1609915032 · Sports Medicine (Orthopaedic Surgery) Physician · Fort Wayne, IN
Provider details
- NPI number
- 1609915032
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01067408A (IN)
Practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 436-8585
Mailing address
Po Box 2526
Fort Wayne, IN 46801-2526
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.