NPIMap

Organization Active NPI

Hannan Chaugle M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Modesto, CA
National Provider Identifier
1073775417
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A97091 Issued in CA
Legal business name
HANNAN CHAUGLE M.D.
Doing business as
Central Valley cardio Vascular & Thoracic Institute
Practice address
1401 Spanos CT Ste 125
Modesto, CA 95355-2814
Phone
(503) 975-8455
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Hannan Chaugle, M.D.NPI 1730100660
Title
President
Phone
(503) 975-8455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X A97091 CA Primary

Addresses

Primary practice location

1401 Spanos CT Ste 125
Modesto, CA 95355-2814

Mailing address

1401 Spanos CT Ste 125
Modesto, CA 95355-2814
Phone (503) 975-8455

Other names 1

  • Central Valley cardio Vascular & Thoracic Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1073775417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 125",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552814",
            "telephone_number": "503-975-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 125",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552814",
            "telephone_number": "503-975-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAN CHAUGLE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CHAUGLE",
        "authorized_official_first_name": "HANNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-975-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A97091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley cardio Vascular & Thoracic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.