Individual provider Active NPI

Patrick Hanford, DO

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1669444592
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6723 Issued in TX
Practice address
4617 91St St
Lubbock, TX 79424-5035
Phone
(806) 794-5077
Fax
(806) 794-5077
NPI assigned
Feb 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6723 TX Primary
Emergency Medicine Physician 207P00000X G6723 TX

Addresses

Primary practice location

4617 91St St
Lubbock, TX 79424-5035

Mailing address

4617 91St St
Lubbock, TX 79424-5035
Phone (806) 794-5077

Other identifiers 1

IdentifierTypeStateIssuer
139634308MedicaidTX

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hanford Consultations, P.a. Family Medicine Past Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.hanford@direct.myteamcare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1669444592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 91ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245035",
            "telephone_number": "806-794-5077",
            "fax_number": "806-794-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 91ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245035",
            "telephone_number": "806-794-5077",
            "fax_number": "806-794-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFORD",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6723",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G6723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139634308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.