Edward James Hannon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20768 Issued in IA

Practice address

350 N Grandview Ave
Dubuque, IA 52001-6388

Phone

(563) 582-1881

Fax

(563) 589-2491

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dubuque Radiological Associates, PC

  • Diagnostic Radiology Physician
  • Dubuque, IA
  • NPI 1619925260
  NPD (past)
• Radiation Oncology Services of Dubuque PC

  • Radiation Oncology Physician
  • Dubuque, IA
  • NPI 1669424958
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013132034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 UNIVERSITY AVE",
            "address_2": "PO BOX 1655",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015942",
            "telephone_number": "563-556-6895",
            "fax_number": "563-556-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N GRANDVIEW AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016388",
            "telephone_number": "563-582-1881",
            "fax_number": "563-589-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "20768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20768",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Joseph Hamann, D.M.D.
• Jamie Lee Hammerand, DNP ARNP
• Jennifer S Hammerand, ARNP
• Mary J Hampton, RDLD
• Hanger Prosthetics & Orthotics East, Inc.
• Anton Hansen
• Gregory David Hansen, O.D.
• Lisa Ma Hansen, O.D.
• Erin Lorraine Hanson, LMSW
• Jessica Leigh Hanson, MA

• Diagnostic Radiology Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.