Organization Active NPI

Morris R Hanan MD PA

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1144553587
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME36666 Issued in FL
Legal business name
MORRIS R HANAN MD PA
Practice address
508 S Habana Ave
Suite 260
Tampa, FL 33609-4181
Phone
(813) 876-9191
Fax
(813) 876-3103
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Morris Hanan, MDNPI 1770576076
Title
Physician
Phone
(813) 876-9191

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME36666 FL Primary

Addresses

Primary practice location

508 S Habana Ave
Suite 260
Tampa, FL 33609-4181

Mailing address

508 S Habana Ave
Suite 260
Tampa, FL 33609-4181
Phone (813) 876-9191

Other identifiers 1

IdentifierTypeStateIssuer
065008100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000264 FL Part B Supplier - Clinic/Group Practice 4587793005 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

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
10D0289952Morris R Hanan MD508 S Habana Ave Suite 260, Tampa, FL 33609Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

508 S Habana Ave
Ste 260
Tampa, FL 33609
Phone (813) 876-9191

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": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1144553587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "SUITE 260",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-876-9191",
            "fax_number": "813-876-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "SUITE 260",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-876-9191",
            "fax_number": "813-876-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS R HANAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "HANAN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-876-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME36666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065008100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.