Organization Active NPI

Hanna Ankle & Foot

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1255827358
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00382 Issued in KY
Legal business name
HANNA ANKLE & FOOT
Practice address
3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726
Phone
(502) 365-1899
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Timothy D Hanna, DPM
Title
Owner
Phone
(502) 365-1899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00382 KY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726

Mailing address

3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726
Phone (502) 365-1899

Other identifiers 3

IdentifierTypeStateIssuer
7100646070MedicaidKY
7100561550MedicaidKY
300041526MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1255827358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMANS LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074726",
            "telephone_number": "502-365-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMANS LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074726",
            "telephone_number": "502-365-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNA ANKLE & FOOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-365-1899",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00382",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100646070",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100561550",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300041526",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.