Mark Hannis, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

4301071197 Issued in MI

Practice address

15101 Ford Rd
Dearborn, MI 48126-4611

Phone

(313) 582-2769

Fax

(313) 846-7708

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: mhannis108207@direct.beaumont.edu

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1336119106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264611",
            "telephone_number": "313-582-2769",
            "fax_number": "313-846-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNIS",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301071197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhannis108207@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "15101 Ford Rd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481264611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hana S. Najar, M.D., P.C.
• Wehbi Rashid Hanayni, MD
• Stephanie Marie Hankins, MA
• Anthony Hanna, MD
• Samar Fouad Hannawi, MA TLLP
• Ethan Hansen
• John Hansen
• Nia Simone Hanserd
• Benjamin V Hanson
• Hany Deirawan MD PLLC

• Geriatric Medicine (Internal Medicine) Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.