Active NPI
Robert Samuel Hanna, M.D.
- Ophthalmology Physician
- Cherokee, NC
National Provider Identifier
1366456089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- DR.0023020
- Practice address
- 1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719-5392 - Phone
- (828) 497-9163
- Fax
- (828) 497-1723
- NPI assigned
- Jul 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7567A | WY | |
| Ophthalmology Physician | 207W00000X | DR.0023020 | CO | Primary |
Addresses
Primary practice location
1 Hospital Rd
Caller Box C-268
Cherokee, NC 28719-5392
Mailing address
5165 Grand Cypress CT
Fort Collins, CO 80528-9102
Phone (307) 751-8311
Other practice location 1
5165 Grand Cypress Ct
Fort Collins, CO 80528-9102
Phone (307) 751-8311
Other practice location 2
340 W Dow St
Sheridan, WY 82801-3831
Phone (307) 673-1704
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156996001 | Medicaid | AR | |
| 207558107 | Other | MO | MISSOURI MEDICAID |
| P00196059 | Other | AR | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 7567A | WY | MD | Specialist |
| DR.0023020 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Eye Associates LTD | Ophthalmology | 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.
-
- Ophthalmology Physician
- Jonesboro, AR
- NPI 1669486528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366456089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5165 GRAND CYPRESS CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289102",
"telephone_number": "307-751-8311",
"fax_number": "828-497-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL RD",
"address_2": "CALLER BOX C-268",
"city": "CHEROKEE",
"state": "NC",
"postal_code": "287195392",
"telephone_number": "828-497-9163",
"fax_number": "828-497-1723"
}
],
"practiceLocations": [
{
"address_1": "5165 Grand Cypress Ct",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805289102",
"country_code": "US",
"telephone_number": "307-751-8311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 W Dow St",
"address_purpose": "LOCATION",
"city": "Sheridan",
"state": "WY",
"postal_code": "828013831",
"country_code": "US",
"telephone_number": "307-673-1704",
"fax_number": "307-673-4763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNA",
"first_name": "ROBERT",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WY",
"license": "7567A",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "DR.0023020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156996001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI MEDICAID",
"identifier": "207558107",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00196059",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherokee, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.