Organization Active NPI

Tharwat a Hanna MD PC

  • Internal Medicine Physician
  • Marshfield, MA
National Provider Identifier
1295920742
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THARWAT A HANNA MD PC
Practice address
435 Furnace St
Marshfield, MA 02050-2328
Phone
(781) 834-2068
Fax
(781) 837-0244
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Amani I Hanna
Title
Business Manager
Phone
(781) 834-2068

Specialties & licenses 1

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

Addresses

Primary practice location

435 Furnace St
Marshfield, MA 02050-2328

Mailing address

435 Furnace St
Marshfield, MA 02050-2328
Phone (781) 834-2068

Other identifiers 3

IdentifierTypeStateIssuer
M16520OtherMABLUE CROSS BLUE SHIELD
J14655OtherMAMEDICARE
9783601MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081124000633 MA Part B Supplier - Clinic/Group Practice 2264592047 Receives reassigned benefits from 1 practitioner
Practice locations: Marshfield, MA

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
22D0945888Tharwat a Hanna MD PC435 Furnace Street, Marshfield, MA 02050Provider-performed microscopyMay 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1295920742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502328",
            "telephone_number": "781-834-2068",
            "fax_number": "781-837-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502328",
            "telephone_number": "781-834-2068",
            "fax_number": "781-837-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THARWAT A HANNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "AMANI",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "781-834-2068"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M16520",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J14655",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.