Robert S Hanna MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

7567A Issued in WY

Legal business name

ROBERT S HANNA MD PC

Practice address

340 W Dow St
Sheridan, WY 82801-3831

Phone

(307) 673-1704

Fax

(307) 673-1704

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Robert Samuel Hanna, M.D.

Title

President

Phone

(307) 673-1704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508908799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W DOW ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013831",
            "telephone_number": "307-673-1704",
            "fax_number": "307-673-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W DOW ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013831",
            "telephone_number": "307-673-1704",
            "fax_number": "307-673-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S HANNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-673-1704",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WY",
            "license": "7567A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.