Tyrone Harvard Hanks, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4493 Issued in AZ

Practice address

2905 W Warner Rd Ste 12
Chandler, AZ 85224-1674

Phone

(480) 831-8457

Fax

(480) 491-3112

NPI assigned

Jan 11, 2008

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Kansas City University of Physicians and Surgeons, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians

Primary Care Practice of Arizona PLLCGroup PAC ID 4183963515, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thanks119498@westdirect.optum.com

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.

• Greater Phoenix Collaborative Care PC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1750686614
  Medicare reassignment Care Compare group NPD
• Primary Care Practice of Arizona, PLLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1265904247
  Medicare reassignment Care Compare group NPD
• Warner Family Practice, PC

  dba Optum Primary Care

  • Primary Care Clinic/Center
  • Chandler, AZ
  • NPI 1649309816
  Medicare reassignment NPD
• Greater Phoenix Collaborative Care PC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1790581742
  NPD
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1023970704
  NPD
• Primary Care Practice of Arizona, PLLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1841027695
  NPD
• Rocky Mountain Physicians Group, PC

  dba Metro Urgent Care

  • Urgent Care Clinic/Center
  • Broomfield, CO
  • NPI 1194252288
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1952587750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD STE 12",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-831-8457",
            "fax_number": "480-491-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Clearview Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852093378",
            "country_code": "US",
            "telephone_number": "480-423-4670",
            "fax_number": "480-654-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 W 120th Ave",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800202983",
            "country_code": "US",
            "telephone_number": "720-274-9200",
            "fax_number": "720-274-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKS",
        "first_name": "TYRONE",
        "middle_name": "HARVARD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0057286",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE/URGENT CARE",
            "identifier": "4493",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "DR.0057286",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics West Inc (Elite Care)
• Hanger Prosthetics & Orthotics West, Inc. (Elite Care)
• Gillaume Hangi, RBT
• Allyson Annette Hankins
• Julia Hankinson
• Jason Adel Hannosh, PHARM. D.
• Brandt Hansen, DMD
• Emily Hansen, LAMFT
• Haley Samantha Hansen
• Jane Elizabeth Hansen, PT

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• 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.

Verify at the official NPI Registry.