Individual provider Active NPI

Michael Anthony O'Hanlan, M.D.

  • Rheumatology Physician
  • Henderson, NV
National Provider Identifier
1700993771
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
3265 Issued in NV
Practice address
8905 S Pecos Rd
Suite.23a
Henderson, NV 89074-7147
Phone
(702) 734-8311
Fax
(702) 731-2871
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 3265 NV Primary

Addresses

Primary practice location

8905 S Pecos Rd
Suite.23a
Henderson, NV 89074-7147

Mailing address

8905 S Pecos Rd Ste 23a
Henderson, NV 89074-7148
Phone (702) 734-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000006 NV Practitioner - RheumatologyPractitioner - Internal Medicine 8426088246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3265NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Ohanlan MD Chartered Rheumatology CurrentSince Jun 28, 2017 Accepting new patients
Arthritis Associates of Nevada Past Accepting new patients

Locations

8905 S Pecos Rd
Ste 23A
Henderson, NV 89074
Phone (702) 734-8311

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1700993771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 S PECOS RD STE 23A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747148",
            "telephone_number": "702-734-8311",
            "fax_number": "702-731-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 S PECOS RD",
            "address_2": "SUITE.23A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747147",
            "telephone_number": "702-734-8311",
            "fax_number": "702-731-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLAN",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.