Individual provider Active NPI

Hassan Hassan

  • Non-emergency Medical Transport (VAN)
  • Westerville, OH
National Provider Identifier
1497141089
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
GHF Issued in OH
Practice address
4322 Executive Pkwy
Apt 418
Westerville, OH 43081-3880
Phone
(614) 776-4015
Fax
(614) 776-4015
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X GHF OH Primary

Addresses

Primary practice location

4322 Executive Pkwy
Apt 418
Westerville, OH 43081-3880

Mailing address

4322 Executive Pkwy
Apt 418
Westerville, OH 43081-3880
Phone (614) 776-4015

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GHFOHMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1497141089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 EXECUTIVE PKWY",
            "address_2": "APT 418",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813880",
            "telephone_number": "614-776-4015",
            "fax_number": "614-776-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 EXECUTIVE PKWY",
            "address_2": "APT 418",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813880",
            "telephone_number": "614-776-4015",
            "fax_number": "614-776-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "GHF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.