Nezih Z. Hasanoglu, D.O., S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25286 Issued in WI

Legal business name

NEZIH Z. HASANOGLU, D.O., S.C.

Doing business as

Nezih Z. Hasanoglu, D.O.

Practice address

13700 W National Ave
Suite 116
New Berlin, WI 53151-9521

Phone

(262) 782-5662

Fax

(262) 782-5296

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nezih Z. Hasanoglu, D.O.NPI 1730166901

Title

President

Phone

(262) 782-5662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nezih Z. Hasanoglu, D.O. Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nezih Z Hasanoglu, D.O.

  • Family Medicine Physician
  • West Allis, WI
  • NPI 1730166901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174653513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 W NATIONAL AVE",
            "address_2": "SUITE 116",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519521",
            "telephone_number": "262-782-5662",
            "fax_number": "262-782-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 W NATIONAL AVE",
            "address_2": "SUITE 116",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531519521",
            "telephone_number": "262-782-5662",
            "fax_number": "262-782-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEZIH Z. HASANOGLU, D.O., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASANOGLU",
        "authorized_official_first_name": "NEZIH",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-782-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "25286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30019700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nezih Z. Hasanoglu, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.