Individual provider Active NPI

Jason S Hahn, M.D.

  • Otolaryngology Physician
  • Tamuning, GU
National Provider Identifier
1831128149
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M-1856 Issued in GU
Practice address
543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630
Phone
(671) 649-4764
Fax
(671) 649-4765
NPI assigned
Jun 30, 2006
Last updated
Feb 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101232441 VA
Otolaryngology Physician 207Y00000X M-1856 GU Primary

Addresses

Primary practice location

543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630

Mailing address

543 Chalan Guma Yu'Os
Tamuning, GU 96913-3630
Phone (671) 649-4764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20150605000043 GU Practitioner - Otolaryngology 4880653948 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-1856GUMDOtolaryngology Physician
0101232441VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Jan 12, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Feb 12, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Feb 12, 2015 Accepting new patients
Chesapeake Ear, Nose & Throat Associates, P.C. Otolaryngology Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1831128149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 CHALAN GUMA YU'OS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133630",
            "telephone_number": "671-649-4764",
            "fax_number": "671-649-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 CHALAN GUMA YU'OS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133630",
            "telephone_number": "671-649-4764",
            "fax_number": "671-649-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101232441",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GU",
            "license": "M-1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.