Jean-Michel, Hassan, MD Southwest Clinic Inc

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

0431410 Issued in KS

Legal business name

JEAN-MICHEL, HASSAN, MD SOUTHWEST CLINIC INC

Doing business as

Southwest Clinic Inc

Practice address

555 W 15TH St Ste D
Liberal, KS 67901-2468

Phone

(620) 626-4368

Fax

(620) 626-7370

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jean Michel Hassan, MD

Title

Physician Owner

Phone

(620) 626-4368

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTHWEST CLINIC INC Doing business as

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1487779922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 15TH ST STE D",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012468",
            "telephone_number": "620-626-4368",
            "fax_number": "620-626-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 15TH ST STE D",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012468",
            "telephone_number": "620-626-4368",
            "fax_number": "620-626-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN-MICHEL, HASSAN, MD SOUTHWEST CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "620-626-4368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "KS",
            "license": "0431410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "111347",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "111347",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST CLINIC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zaki G Ibrahim, MD
• Timothy Wayne Ingram, HEARING SPECIALIST
• Rohitha Inturi, MD
• Elyse Ann Jablonski, PA-C
• Bruce W Jackson, DDS
• Julio Jimenez, D.C
• John a Buie, M.D. P.C.
• Rosemary Renata Juarez, PHARM D
• Jury, Farrar and Associates, Doctors of Optometry, PA
• K&T LLC (Squints)

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Liberal, KS
• Providers in Liberal, KS by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.