Michael T Ham, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN604865 Issued in PA

Practice address

23 Morris Ave Ste 219
Bryn Mawr, PA 19010-3335

Phone

(215) 662-4000

NPI assigned

Sep 12, 2019

Sex

Male

Sole proprietor

Yes

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

Registered Nurse

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.

• Sauler Institute of Tattooing

  • Technician
  • Plymouth Meeting, PA
  • NPI 1386171858
  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1073163044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 POTTSTOWN PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801235",
            "telephone_number": "484-883-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MORRIS AVE STE 219",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103335",
            "telephone_number": "215-662-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Civic Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045127",
            "country_code": "US",
            "telephone_number": "215-662-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN604865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF NURSING",
            "identifier": "RN604865",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Haggerty, M.D.
• Caroline Haimm, PHD
• Andrew Michael Halbert, D.D.S.
• Gerrianne Hale
• David Jonathan Halpern, M.D.
• John J Hamill, CRNA
• Renee Hammoud, PA-C
• Richard William Hannig, DPM
• Cynthia L Hanson, CRNP
• Robin Elizabeth Hanson

• Registered Nurse in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.