NPIMap

Individual provider Active NPI

Michael Stephen Hanemann Jr., M.D.

  • Plastic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1457573065
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD.025571 Issued in LA
Practice address
5233 Dijon Dr
Baton Rouge, LA 70808-4692
Phone
(225) 766-2166
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD.025571 LA Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 28714 AL

Addresses

Primary practice location

5233 Dijon Dr
Baton Rouge, LA 70808-4692

Mailing address

5233 Dijon Dr
Baton Rouge, LA 70808-4692
Phone (225) 766-2166

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

LicenseStateTypeSpecialty
28714ALMDOtolaryngology/Facial Plastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: mhanemann5310829@direct.casso.us.com

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1457573065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084692",
            "telephone_number": "225-766-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084692",
            "telephone_number": "225-766-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEMANN",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.025571",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AL",
            "license": "28714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.