Organization Active NPI

Faris a. Hanna, MD, PA

  • Obstetrics & Gynecology Physician
  • Hollywood, FL
National Provider Identifier
1245587559
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME56896 Issued in FL
Legal business name
FARIS A. HANNA, MD, PA
Practice address
1150 N 35TH Ave
Suite 675
Hollywood, FL 33021-5424
Phone
(954) 966-2133
Fax
(954) 961-0959
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Faris A Hanna, MD
Title
Physician/Owner
Phone
(954) 966-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME56896 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 675
Hollywood, FL 33021-5424

Mailing address

1150 N 35TH Ave
Suite 675
Hollywood, FL 33021-5424
Phone (954) 966-2133

Other identifiers 1

IdentifierTypeStateIssuer
371017300MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2338820Faris a Hanna MD PA1150 North 35TH Ave Suite 675, Hollywood, FL 33021Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

1150 N 35th Ave
Ste 675
Hollywood, FL 33021
Phone (954) 966-2133

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1245587559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 675",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-966-2133",
            "fax_number": "954-961-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 675",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-966-2133",
            "fax_number": "954-961-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIS A. HANNA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "FARIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-966-2133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME56896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371017300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.