Organization Active NPI

Joseph Hanna,M.D.LLC

  • Cardiovascular Disease Physician
  • Manchester, CT
National Provider Identifier
1720274541
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17562 Issued in CT
Legal business name
JOSEPH HANNA,M.D.LLC
Practice address
18 Haynes St
Manchester, CT 06040-4111
Phone
(860) 649-7557
Fax
(860) 646-0844
NPI assigned
Sep 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Joseph Hanna, M.D.NPI 1114995321
Title
Owner Manager
Phone
(860) 649-7557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 17562 CT Primary

Addresses

Primary practice location

18 Haynes St
Manchester, CT 06040-4111

Mailing address

18 Haynes St
Manchester, CT 06040-4111
Phone (860) 649-7557

Other identifiers 1

IdentifierTypeStateIssuer
1114995321OtherNPI

Other names 1

  • none Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1720274541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404111",
            "telephone_number": "860-649-7557",
            "fax_number": "860-646-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404111",
            "telephone_number": "860-649-7557",
            "fax_number": "860-646-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH HANNA,M.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-16",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "860-649-7557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "17562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114995321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.