Active NPI
Robert Samuel Hanlon, D.P.M.
- Podiatrist
- Phoenixville, PA
National Provider Identifier
1346391729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001740L
- Practice address
- 76 John Glenn Dr
Phoenixville, PA 19460-1908 - Phone
- (610) 383-5030
- NPI assigned
- Jan 14, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001740L | PA | Primary |
Addresses
Primary practice location
76 John Glenn Dr
Phoenixville, PA 19460-1908
Mailing address
76 John Glenn Dr
Phoenixville, PA 19460-1908
Phone (610) 383-5030
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441480380 | Other | PA | PALETTA GPA |
| 2701432 | Other | PA | EVERCARE |
| 0050616401 | Other | PA | AMERICHOICE |
| 0005061640003 | Medicaid | PA | |
| 71809000 | Medicaid | NJ | |
| HA73880 | Other | PA | BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1346391729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 JOHN GLENN DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601908",
"telephone_number": "610-383-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 JOHN GLENN DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601908",
"telephone_number": "610-383-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "ROBERT",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001740L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALETTA GPA",
"identifier": "441480380",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "2701432",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0050616401",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005061640003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71809000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "HA73880",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.