DR. JOHN JACOB HANNIBAL IV M.D.
NPI 1003133729
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since April 21, 2010
462 GRIDER ST, BUFFALO, NY 14215(716) 898-4226(716) 898-3279 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Jacob Hannibal Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN JACOB HANNIBAL IV M.D. (NPI 1003133729) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1003133729
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN JACOB HANNIBAL IVCredential: M.D.
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address3348 Wallace DrGrand Island, NY 14072-1032 · (716) 773-1280
Fax(716) 898-3279
Sole ProprietorNo
Enumeration DateApril 21, 2010
NPI 1003133729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
462 GRIDER ST, Buffalo, NY 14215

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Hannibal's NPI number?

The NPI number for John Hannibal is 1003133729. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is John Hannibal located?

John Hannibal practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-4226.

What is John Hannibal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Hannibal was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.