Active NPI
Rajeshwar Hanmiah, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Shawano, WI
National Provider Identifier
1639279383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 37374
- Practice address
- 309 N Bartlett St
Shawano, WI 54166-2127 - Phone
- (715) 526-2111
- Fax
- (715) 526-9174
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 37374 | WI | Primary |
Addresses
Primary practice location
309 N Bartlett St
Shawano, WI 54166-2127
Mailing address
309 N Bartlett St
Shawano, WI 54166-2127
Phone (715) 526-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32192600 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37374 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639279383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 N BARTLETT ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662127",
"telephone_number": "715-526-2111",
"fax_number": "715-526-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N BARTLETT ST",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541662127",
"telephone_number": "715-526-2111",
"fax_number": "715-526-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANMIAH",
"first_name": "RAJESHWAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "37374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32192600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shawano, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.