Organization Active NPI

Nosshey F Hanna MD PA

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1700199221
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0043781 Issued in FL
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

Updated by the provider on Sep 1, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME0043781 FL Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10990OtherFLBCBS-MCR PROVIDER #

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.