Hanora Medical Center, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2009-01732 Issued in NC

Legal business name

HANORA MEDICAL CENTER, PLLC

Practice address

2620 Owen Dr
Fayetteville, NC 28306

Phone

(910) 860-0017

Fax

(910) 860-0015

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Chigbo Udoh, M.D.NPI 1154438455

Title

Ceo/President

Phone

(910) 860-0017

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Benjamin Chigbo Udoh, MD

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1154438455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1184928848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88033",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283048033",
            "telephone_number": "910-860-0017",
            "fax_number": "910-860-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "910-860-0017",
            "fax_number": "910-860-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283062933",
            "country_code": "US",
            "telephone_number": "910-860-0017",
            "fax_number": "910-860-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANORA MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "UDOH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CHIGBO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "910-860-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913279",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawntelle Hankins
• Michelle Hanley
• Ebone N Hanna-Dwight, M.S. CCC-SLP
• Amy Christine Hannah
• Mohammed A Hannan, MD
• Megan Elizabeth Hanrahan, LPC
• Madison Hansen
• Phillip Martin Hanson, PA
• Vanessa Swilling Hanson, LPC
• Happynest Solutions Inc

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.