Active NPI
M. Michael Hanna, DO, PA
- Primary Care Clinic/Center
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- OS6942
- Legal business name
- M. MICHAEL HANNA, DO, PA
- Practice address
- 1411 N Flagler Dr
Suite 6300
West Palm Beach, FL 33401-3404 - Phone
- (561) 659-6023
- Fax
- (561) 659-6025
- NPI assigned
- Dec 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mousa Michael Hanna, D.O.
- Title
- Physician
- Phone
- (561) 659-6023
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | OS6942 | FL | Primary |
Addresses
Primary practice location
1411 N Flagler Dr
Suite 6300
West Palm Beach, FL 33401-3404
Mailing address
1411 N Flagler Dr
Suite 6300
West Palm Beach, FL 33401-3404
Phone (561) 659-6023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0940876 | M Michael Hanna DO PA | Certificate of waiver | Jul 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
1411 N Flagler Dr
Ste 6300
West Palm Beach, FL 33401
Phone (561) 659-6023
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DJGIBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Palm Beach, FL
- NPI 1003885500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418688000000",
"number": "1790183226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE 6300",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-659-6023",
"fax_number": "561-659-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE 6300",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-659-6023",
"fax_number": "561-659-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. MICHAEL HANNA, DO, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-16",
"last_updated": "2014-12-16",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "MOUSA",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "561-659-6023",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "OS6942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.