Active NPI
Michael Donovan McHann, OPA-C, LSA,CST/CFA
- Medical Physician Assistant
- Spring, TX
National Provider Identifier
1225110232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- SA00046
- Practice address
- 6314 St Placidia Dr
Spring, TX 77379-2640 - Phone
- (281) 414-3409
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | SA00046 | TX | Primary |
Addresses
Primary practice location
6314 St Placidia Dr
Spring, TX 77379-2640
Mailing address
6314 St Placidia Dr
Spring, TX 77379-2640
Phone (281) 414-3409
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3126400 | Other | TX | AETNA PROVIDER ID |
| 8N3529 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00046 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1225110232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 ST PLACIDIA DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773792640",
"telephone_number": "281-414-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 ST PLACIDIA DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773792640",
"telephone_number": "281-414-3409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHANN",
"first_name": "MICHAEL",
"middle_name": "DONOVAN",
"name_prefix": "Mr.",
"credential": "OPA-C, LSA,CST/CFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "SA00046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "3126400",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8N3529",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.