Active NPI
Jason S Hahn, M.D.
- Otolaryngology Physician
- Tamuning, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- M-1856
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1856 | GU | MD | Otolaryngology Physician |
| 0101232441 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | 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.
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
dba Eastern Virginia Ear, Nose & Throat Specialists
- Otolaryngology Physician
- Chesapeake, VA
- NPI 1982656088
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
- GVN, Inc. (Guam Visiting Nurses)
- Gina Gwak
- Hafa Adai Family Dental PC
- Hafa Adal Specialist Group, LLP
- Hafa Specialist Group LLP (Hafa Adai Specialist Group LLP)
- Justin Sanders Hale, M.D.
- Sophia Brett Hansen
- Health Partners, L.L.C.
- Health Services & Management Inc. (PMC Isla Health System)
- Tina Serena Heinrich, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.