Organization Active NPI

Sang K. Han, M.D., F.a.C.S., P.a.

  • Surgery Physician
  • Glen Burnie, MD
National Provider Identifier
1396846705
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D17694 Issued in MD
Legal business name
SANG K. HAN, M.D., F.A.C.S., P.A.
Practice address
1600 Crain Hwy S
Suite # 406
Glen Burnie, MD 21061-5577
Phone
(410) 766-3331
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Sang K. Han, M.D.
Title
President
Phone
(410) 766-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D17694 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Suite # 406
Glen Burnie, MD 21061-5577

Mailing address

PO Box 219
Pasadena, MD 21123-0219
Phone (410) 766-3331

Other identifiers 4

IdentifierTypeStateIssuer
CF8660OtherMDRAILROAD MEDICARE GROUP #
K967SAOtherMDCAREFIRST MARYLAND #
E388OtherMDBLUECHOICE #
548851600MedicaidMD

National Provider Directory

National Provider Directory

Locations

1600 Crain Hwy S
Ste 406
Glen Burnie, MD 21061
Phone (410) 760-7333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1396846705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211230219",
            "telephone_number": "410-766-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE # 406",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-766-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG K. HAN, M.D., F.A.C.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-766-3331",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D17694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CF8660",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND #",
            "identifier": "K967SA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE #",
            "identifier": "E388",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548851600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.