Active NPI
Nosshey F Hanna MD PA
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1700199221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0043781
- Legal business name
- NOSSHEY F HANNA MD PA
- Practice address
- 4010 Sunbeam Rd
Jacksonville, FL 32257-6026 - Phone
- (904) 268-8460
- Fax
- (904) 268-9809
- NPI assigned
- Jul 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nosshey Fawzi Hanna, M.D.
- Title
- Medical Doctor/Physician
- Phone
- (904) 268-8460
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0043781 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME0043781 | FL |
Addresses
Primary practice location
4010 Sunbeam Rd
Jacksonville, FL 32257-6026
Mailing address
4010 Sunbeam Rd
Jacksonville, FL 32257-6026
Phone (904) 268-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10990 | Other | FL | BCBS-MCR PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
4010 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 268-8460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283299200000",
"number": "1700199221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 SUNBEAM RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322576026",
"telephone_number": "904-268-8460",
"fax_number": "904-268-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 SUNBEAM RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322576026",
"telephone_number": "904-268-8460",
"fax_number": "904-268-9809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOSSHEY F HANNA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2010-09-01",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "NOSSHEY",
"authorized_official_middle_name": "FAWZI",
"authorized_official_title_or_position": "MEDICAL DOCTOR/PHYSICIAN",
"authorized_official_telephone_number": "904-268-8460",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0043781",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0043781",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MCR PROVIDER #",
"identifier": "10990",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.