Organization Active NPI

Ashraf H. Hanna, M.D., P.C.

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1023328234
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01043537 Issued in IN
Legal business name
ASHRAF H. HANNA, M.D., P.C.
Practice address
4306 Lake Avenue
Fort Wayne, IN 46815-7222
Phone
(260) 422-1906
Fax
(260) 422-1925
NPI assigned
Oct 21, 2010
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Ashraf H. Hanna, M.D.
Title
President
Phone
(260) 422-1906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01043537 IN Primary

Addresses

Primary practice location

4306 Lake Avenue
Fort Wayne, IN 46815-7222

Mailing address

4306 Lake Avenue
Fort Wayne, IN 46815-7222
Phone (260) 422-1906

National Provider Directory

National Provider Directory

Locations

4306 Lake Ave
Fort Wayne, IN 46815
Phone (219) 422-1906

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1023328234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 LAKE AVENUE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157222",
            "telephone_number": "260-422-1906",
            "fax_number": "260-422-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 LAKE AVENUE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157222",
            "telephone_number": "260-422-1906",
            "fax_number": "260-422-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHRAF H. HANNA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-422-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01043537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.