Gary David Hanovich, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

21987 Issued in MN

Practice address

3300 Oakdale Ave N
Suite 200
Minneapolis, MN 55422-2926

Phone

(763) 520-2000

Fax

(763) 520-2099

NPI assigned

May 1, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1568420545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-520-2000",
            "fax_number": "763-520-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-520-2000",
            "fax_number": "763-520-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOVICH",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "21987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Hannigan, PT
• Dennis Hannon, PSYD
• Peter M Hannon, MD
• Zein Alabdin Hannouneh, MD
• Rebeca Hannula, RN
• Fahmo Hans, LPCC
• Kristen O Hansberry, MD
• Abby Hansen, LPCC
• Andrea Hansen, MA, LPCC
• Avery Rae Hansen

• Cardiovascular Disease Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Cardiovascular Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.