Theodore Hanley, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME136477 Issued in FL

Practice address

10601 Gandy Blvd N Apt 4302
Saint Petersburg, FL 33702-1505

Phone

(917) 821-5813

NPI assigned

May 20, 2006

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

State University of New York Downstate Medical Center, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871
  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Solutions of Florida II, LLC

  • Anesthesiology Physician
  • Naples, FL
  • NPI 1891318481
  Medicare reassignment NPD
• Sunshine State Anesthesia Partners LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1437757127
  Medicare reassignment NPD
• River East Anesthesia Practice, PC

  • Specialist
  • New York, NY
  • NPI 1770530156
  NPD (past) Authorized official
• Baycare Medical Group, Inc.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1659720837
  NPD
• Boulevard Anesthesia Associates, PC

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1295770196
  NPD (past)
• Bronx Anesthesia Services, PC

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1225330103
  NPD (past)
• CMC Housestaff

  dba St Vincents Catholic Medical Center

  • Family Medicine Physician
  • Elmhurst, NY
  • NPI 1063572212
  NPD (past)
• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)
• SLR Medical Anesthesiology, PC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1750336764
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1235183559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 GANDY BLVD N APT 4302",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337021505",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 GANDY BLVD N APT 4302",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337021505",
            "telephone_number": "917-821-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME136477",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "187032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Haney
• Jason David Hangauer, PHD
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• James A. Hanley
• Nadia Hanley, RDN
• Faith Erin Hanlon
• Ann Hanna, RPH
• Gina Hanna
• Maria Mousa Hanna, DPT
• Mina W Hanna, D.M.D.

• Anesthesiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.