Active NPI
John Han, MD
- Pain Medicine (Anesthesiology) Physician
- Bloomington, IL
National Provider Identifier
1376529131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036084496
- Practice address
- 1505 Eastland Dr
LL 1400
Bloomington, IL 61701-3534 - Phone
- (309) 663-4700
- Fax
- (309) 665-0575
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036084496 | IL | Primary |
Addresses
Primary practice location
1505 Eastland Dr
LL 1400
Bloomington, IL 61701-3534
Mailing address
1505 Eastland Dr
LL 1400
Bloomington, IL 61701-3534
Phone (309) 663-4700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256256000000",
"number": "1376529131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR",
"address_2": "LL 1400",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013534",
"telephone_number": "309-663-4700",
"fax_number": "309-665-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 EASTLAND DR",
"address_2": "LL 1400",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013534",
"telephone_number": "309-663-4700",
"fax_number": "309-665-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2009-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036084496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.