Michael S Hanemann Jr MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

025571 Issued in LA

Legal business name

MICHAEL S HANEMANN JR MD LLC

Practice address

5233 Dijon Dr
Baton Rouge, LA 70808-4692

Phone

(225) 766-2166

Fax

(225) 766-2164

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Stephen Hanemann Jr., M.D.

Title

Doctor

Phone

(504) 460-3821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1023247582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084692",
            "telephone_number": "225-766-2166",
            "fax_number": "225-766-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084692",
            "telephone_number": "225-766-2166",
            "fax_number": "225-766-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S HANEMANN JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "HANEMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "504-460-3821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "025571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.