Robert Joseph Hanlin, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1881 Issued in SC

Practice address

303 W Alexander Ave
Suite E
Greenwood, SC 29646-4078

Phone

(864) 725-7900

Fax

(864) 725-7910

NPI assigned

Aug 29, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD (past)
• Self Medical Group

  • Gastroenterology Physician
  • Greenwood, SC
  • NPI 1841047560
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1235248824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W ALEXANDER AVE",
            "address_2": "SUITE E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464078",
            "telephone_number": "864-725-7900",
            "fax_number": "864-725-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W ALEXANDER AVE",
            "address_2": "SUITE E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464078",
            "telephone_number": "864-725-7900",
            "fax_number": "864-725-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLIN",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "310",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42915800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Halpin Brown
• Dustin Hammond
• Elizabeth Hammond, C.P.N.P.
• Hands of Hope Children'S Therapy Center
• Hanger Prosthetics & Orthotics Inc
• Debbie Hanna
• Daniel Cason Hannah, ATC
• Karsyn Hannahoe, MS
• Todd C Hansen, M.D.
• Pamela Elliott Haralson

• Physician Assistant in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.