NPIMap

Individual provider Active NPI

Thomas W Hanlon, MD

  • Anesthesiology Physician
  • Hazleton, PA
National Provider Identifier
1275535205
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD044497L Issued in PA
Practice address
631 Airport Road
Suite 101
Hazleton, PA 18202
Phone
(570) 861-8200
Fax
(570) 861-8205
NPI assigned
Aug 10, 2005
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD044497L PA Primary

Addresses

Primary practice location

631 Airport Road
Suite 101
Hazleton, PA 18202

Mailing address

PO Box 70
Mountain Top, PA 18707-0070
Phone (570) 861-8200

Other identifiers 2

IdentifierTypeStateIssuer
0012583000010MedicaidPA
0012583000011MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000855 PA Practitioner - AnesthesiologyPractitioner - Pain Management 8123076551 Practice locations: Forty Fort, PA; Plains, PA; Hazleton, PA

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Pittsburgh School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

631 Airport Rd
Suite 101
Hazle Township, PA 18202-3287
Phone (570) 861-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.14 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Consultants PastSince Jan 1, 1990 Accepting new patients
Beechmont Anesthesia Anesthesiology PastSince Jun 23, 2005 Accepting new patients
Ekg Associates of Wyoming Valley LLP PastSince Aug 1, 2012 Accepting new patients
Anesthesia Care Consultants Anesthesiology PastSince Jul 1, 1998 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1275535205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187070070",
            "telephone_number": "570-861-8200",
            "fax_number": "570-861-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 AIRPORT ROAD",
            "address_2": "SUITE 101",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-861-8200",
            "fax_number": "570-861-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD044497L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012583000010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012583000011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.