Michael Hannon MD PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A123393 Issued in CA

Legal business name

MICHAEL HANNON MD PC

Practice address

99 N la Cienega Blvd Ste 304
Beverly Hills, CA 90211-2286

Phone

(310) 362-3099

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael G Hannon, MDNPI 1043486137

Title

Owner/President

Phone

(914) 433-1654

Specialties & licenses 1

Addresses

Other names 1

• Hannon Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GHIGBD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Gerard Hannon, M.D.

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1043486137
  Medicare reassignment Authorized official
• Mary Cecilia Hannon, MD

  • Emergency Medicine Physician
  • Torrance, CA
  • NPI 1275824518
  NPD (past)

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1689172504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STRATFORD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667224",
            "telephone_number": "703-774-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112286",
            "telephone_number": "310-362-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HANNON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "914-433-1654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A123393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannon Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Mezrow, MD
• MHC Socal LLC
• Michael D. Borookhim, M.D., Inc
• Michael Franzblau, M.D., a Prof Corp
• Michael Hakimi, M.D., Inc.
• Michael Ian Paul M.D.,a Professional Corporation
• Michael J Feldman MD Inc
• Michael J Soffer MD Inc
• Michael J. Whitman, a Psychological Corporation
• Michael K. Obeng, MD, PA

• Sports Medicine (Orthopaedic Surgery) Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.