Han M Hanafy MDSC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36-45949 Issued in IL

Legal business name

HAN M HANAFY MDSC

Practice address

404 N Commercial St
Harrisburg, IL 62946-3307

Phone

(618) 252-7424

Fax

(618) 252-0737

NPI assigned

Aug 31, 2006

Last updated

Oct 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Han M Hanafy, MDSCNPI 1215039789

Title

Owner

Phone

61825274724

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Han M Hanafy, MDSC

  • Urology Physician
  • Harrisburg, IL
  • NPI 1215039789
  NPD (past) Authorized official
• Jeremy Dale Palmer, PAC

  • Physician Assistant
  • Herrin, IL
  • NPI 1386716884
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1821100389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629460783",
            "telephone_number": "618-252-7424",
            "fax_number": "618-252-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463307",
            "telephone_number": "618-252-7424",
            "fax_number": "618-252-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAN M HANAFY MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "HANAFY",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "61825274724",
        "authorized_official_credential": "MDSC"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "36-45949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L002199",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08300064",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "108688",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA THE FUNDS",
            "identifier": "0065501",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045949",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "101929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Goines, NP
• Gregg Eubanks OD
• Pamela Sue Grimes, RN
• Ethan Thomas Grounds, DMD
• Megan Gulley I
• Han M Hanafy, MDSC
• Kimberlea D. Hankins
• Elizabeth Mae Hardy, APRN
• Harris Frank LLC (Harrisburg Care Center)
• Harrisburg Cancer Center Inc

• Urology Physician in Harrisburg, IL
• Providers in Harrisburg, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.