Organization Active NPI

Hany Nasr MD Inc

  • Interventional Pain Medicine Physician
  • Visalia, CA
National Provider Identifier
1104123892
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
HANY NASR MD INC
Practice address
201 E Noble Ave
Visalia, CA 93277-2857
Phone
(559) 627-6500
Fax
(559) 627-6501
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Hany M Nasr, MDNPI 1396872107
Title
Owner
Phone
(559) 308-3905

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

201 E Noble Ave
Visalia, CA 93277-2857

Mailing address

PO Box 3500
Visalia, CA 93278-3500
Phone (559) 308-3905

Other names 1

  • St. George Spine and Pain Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110504000114 CA Part B Supplier - Clinic/Group Practice 3971788175 Receives reassigned benefits from 2 practitioners
Practice locations: Hanford, CA; Visalia, CA; Porterville, CA
O20130712000205 CA DME Supplier - Physician - General PracticeDME Supplier - Physician - Physical and Rehabilitation 3971788175 Practice locations: Visalia, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2030036Hany Nasr, MD Inc201 East Noble Ave, Visalia, CA 93277Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Locations

79 N D St Ste a
Porterville, CA 93257

76 N D St
Ste A
Porterville, CA 93257
Phone (559) 627-6500

201 E Noble Ave
Visalia, CA 93277
Phone (559) 627-6500

Practitioners & affiliated clinicians

Practitioners 4

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": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1104123892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3500",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932783500",
            "telephone_number": "559-308-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772857",
            "telephone_number": "559-627-6500",
            "fax_number": "559-627-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANY NASR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-308-3905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. George Spine and Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.