IndividualActive
Phyllis Hannah, M.D.
NPI 1740259407 · Internal Medicine Physician · Ada, OK
Provider details
- NPI number
- 1740259407
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MO - 10627 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone: (580) 436-3980
Approximate (ZIP-level) locationGet directions
Mailing address
902 E Lincoln Rd
Idabel, OK 74745-7337
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.