Individual provider Active NPI

Stephen Victor Hamn, M.D.

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1356301816
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H1282 Issued in TX
Practice address
3108 Midway Rd Ste 204
Plano, TX 75093-1615
Phone
(972) 845-4567
Fax
(972) 845-4448
NPI assigned
Mar 27, 2006
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H1282 TX Primary

Addresses

Primary practice location

3108 Midway Rd Ste 204
Plano, TX 75093-1615

Mailing address

3108 Midway Rd Ste 204
Plano, TX 75093-1615
Phone (972) 845-4567

Other identifiers 1

IdentifierTypeStateIssuer
099267901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000891 TX Practitioner - General Surgery 7113969965

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1282TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Back Institute Physicians P.a. Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmcshamn@yourcarecommunity.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1356301816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD STE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931615",
            "telephone_number": "972-845-4567",
            "fax_number": "972-845-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 MIDWAY RD STE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931615",
            "telephone_number": "972-845-4567",
            "fax_number": "972-845-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMN",
        "first_name": "STEPHEN",
        "middle_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H1282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099267901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.