Active NPI
David B Hanzel, M.D.
- Family Medicine Physician
- New Boston, OH
National Provider Identifier
1063579712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35035428
- Practice address
- 206 Vine St
New Boston, OH 45662-4953 - Phone
- (740) 456-8231
- Fax
- (740) 456-5895
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35035428 | OH | Primary |
Addresses
Primary practice location
206 Vine St
New Boston, OH 45662-4953
Mailing address
206 Vine St
New Boston, OH 45662-4953
Phone (740) 456-8231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212237 | Medicaid | OH | |
| 64735699 | Other | KY | KENTUCKY MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35035428 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063579712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 VINE ST",
"city": "NEW BOSTON",
"state": "OH",
"postal_code": "456624953",
"telephone_number": "740-456-8231",
"fax_number": "740-456-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 VINE ST",
"city": "NEW BOSTON",
"state": "OH",
"postal_code": "456624953",
"telephone_number": "740-456-8231",
"fax_number": "740-456-5895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANZEL",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35035428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0212237",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAID",
"identifier": "64735699",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Boston, OH
Sources for this page
- 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.