Individual provider Active NPI

Dan Thomas Hladky, AA

  • Anesthesiology Physician
  • Springfield, OH
National Provider Identifier
1235142688
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
67000054 Issued in OH
Practice address
1343 N Fountain Blvd
Springfield, OH 45501
Phone
(937) 390-5029
NPI assigned
Aug 15, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 67000054 OH Primary

Addresses

Primary practice location

1343 N Fountain Blvd
Springfield, OH 45501

Mailing address

PO Box 632621
Cincinnati, OH 45263-2621
Phone (908) 653-9399

Other identifiers 1

IdentifierTypeStateIssuer
2384272MedicaidOH

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)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
10OHMDAcupuncturist
67000054OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Springfield Regional Anesthesia, Inc Anesthesiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1235142688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632621",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632621",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45501",
            "telephone_number": "937-390-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLADKY",
        "first_name": "DAN",
        "middle_name": "THOMAS",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "67000054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384272",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.