NPIMap

Organization Active NPI

Hanchrist, LLC

  • Internal Medicine Physician
  • Wadsworth, OH
National Provider Identifier
1669702841
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067926 Issued in OH
Legal business name
HANCHRIST, LLC
Practice address
195 Wadsworth Rd
Suite 402
Wadsworth, OH 44281
Phone
(330) 331-7207
Fax
(330) 331-7587
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Samantha L Thesing
Title
Office Manager
Phone
(330) 331-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 35067926 OH Primary

Addresses

Primary practice location

195 Wadsworth Rd
Suite 402
Wadsworth, OH 44281

Mailing address

PO Box 1243
Bath, OH 44210-1243
Phone (330) 331-7207

Other identifiers 1

IdentifierTypeStateIssuer
140056MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Cedarnile LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1669702841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "BATH",
            "state": "OH",
            "postal_code": "442101243",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WADSWORTH RD",
            "address_2": "SUITE 402",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-331-7207",
            "fax_number": "330-331-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCHRIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "THESING",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-331-7207"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.