Individual provider Active NPI

Philip P Hawner, M.D.

  • Plastic Surgery Physician
  • Longview, TX
National Provider Identifier
1730186172
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
K3229 Issued in TX
Practice address
707 Hollybrook Dr
Suite 400
Longview, TX 75605-2410
Phone
(903) 230-3223
Fax
(903) 753-7420
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X K3229 TX Primary

Addresses

Primary practice location

707 Hollybrook Dr
Suite 400
Longview, TX 75605-2410

Mailing address

707 Hollybrook Dr
Suite 400
Longview, TX 75605-2410
Phone (903) 230-3223

Other identifiers 1

IdentifierTypeStateIssuer
045323501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120419000764 TX Practitioner - Plastic and Reconstructive Surgery 3678734530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

707 Hollybrook Dr
Suite 400
Longview, TX 75605-2410
Phone (903) 230-3223

Hospital & facility affiliations

  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09249RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawner Plastic Surgery Associates Plastic Surgery CurrentSince May 1, 2015 Accepting new patients

Locations

707 Hollybrook Dr
Ste 400
Longview, TX 75605
Phone (903) 230-3223

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1730186172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 HOLLYBROOK DR",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052410",
            "telephone_number": "903-230-3223",
            "fax_number": "903-753-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HOLLYBROOK DR",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052410",
            "telephone_number": "903-230-3223",
            "fax_number": "903-753-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWNER",
        "first_name": "PHILIP",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "K3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045323501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.