Organization Active NPI

Christopher J Hanlon, MD, PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1235255787
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45561 Issued in AZ
Legal business name
CHRISTOPHER J HANLON, MD, PLLC
Practice address
10645 N Tatum Blvd
Suite 200-241
Phoenix, AZ 85028-3068
Phone
(516) 650-0414
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Dr. Christopher John Hanlon
Title
Sole Partner
Phone
(516) 650-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 45561 AZ Primary

Addresses

Primary practice location

10645 N Tatum Blvd
Suite 200-241
Phoenix, AZ 85028-3068

Mailing address

10645 N Tatum Blvd
Suite 200-241
Phoenix, AZ 85028-3068

National Provider Directory

National Provider Directory

Locations

333 E Shore Rd
Ste 208
Manhasset, NY 11030
Phone (516) 487-3600

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1235255787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "SUITE 200-241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "SUITE 200-241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "516-650-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J HANLON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "SOLE PARTNER",
        "authorized_official_telephone_number": "516-650-0414",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.