Robert J. Hannum, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

FL050005604 Issued in FL

Practice address

3450 Palencia Dr Apt 1004
Tampa, FL 33618-1850

Phone

(813) 610-4942

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Ags Healthcare Specialists Inc

  • Gerontology Nurse Practitioner
  • Tampa, FL
  • NPI 1467482380
  NPD (past)
• Bay Area Primary Care Associates

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1104920826
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1700943008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 PALENCIA DR APT 1004",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181850",
            "telephone_number": "813-920-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 PALENCIA DR APT 1004",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181850",
            "telephone_number": "813-610-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNUM",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "FL050005604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062628700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly L Hannah-Jones, D.M.D.
• Savannah Hannah, APRN
• Gwendolyn S Hanner, MA, LMHC
• James Shapard Hanner, M.D.
• Ruth H Hanno, MD
• Deborah Hanratty
• Herman Hans, M.D.
• Lisa Anne Hansel, AU.D.
• Allyson Paige Hansen, DO
• Ari Brooks Hansen

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.