Active NPI
John Richard Hannig, M.D.
- Obstetrics Physician
- Salem, OR
National Provider Identifier
1336235019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- MD26119
- Practice address
- 875 Oak St SE
Salem, OR 97301-3975 - Phone
- (503) 562-2229
- Fax
- (503) 562-4060
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | MD26119 | OR | Primary |
Addresses
Primary practice location
875 Oak St SE
Salem, OR 97301-3975
Mailing address
875 Oak St SE
Salem, OR 97301-3975
Phone (503) 562-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26119 | OR | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escondido OB-GYN Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Escondido, CA
- NPI 1679512024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336235019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013975",
"telephone_number": "503-562-2229",
"fax_number": "503-562-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013975",
"telephone_number": "503-562-2229",
"fax_number": "503-562-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNIG",
"first_name": "JOHN",
"middle_name": "RICHARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "OR",
"license": "MD26119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.