Individual provider Active NPI

Ernest Dalton Hanowell

  • Surgery Physician
  • Bethesda, MD
National Provider Identifier
1952381428
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D21898 Issued in MD
Practice address
10215 Fernwood Rd Ste 102
Bethesda, MD 20817-1299
Phone
(301) 897-5450
Fax
(301) 493-0213
NPI assigned
Jan 19, 2006
Last updated
Sep 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D21898 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 102
Bethesda, MD 20817-1299

Mailing address

10215 Fernwood Rd Ste 102
Bethesda, MD 20817-1299
Phone (301) 897-5450

Other practice location 1

10215 Fernwood Rd Ste 102
Bethesda, MD 20817-1299
Phone (301) 897-5450

Other identifiers 2

IdentifierTypeStateIssuer
366651400MedicaidMD
321161400MedicaidMD

Other names 1

  • Dr. Ernest Dalton Hanowell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1952381428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 102",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171299",
            "telephone_number": "301-897-5450",
            "fax_number": "301-493-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 102",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171299",
            "telephone_number": "301-897-5450",
            "fax_number": "301-493-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 Fernwood Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171299",
            "country_code": "US",
            "telephone_number": "301-897-5450",
            "fax_number": "301-493-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANOWELL",
        "first_name": "ERNEST",
        "middle_name": "DALTON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D21898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366651400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321161400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERNEST",
            "last_name": "HANOWELL",
            "middle_name": "DALTON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.