Hannahan Comprehensive Pain Care PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

20671 Issued in AL

Legal business name

HANNAHAN COMPREHENSIVE PAIN CARE PC

Practice address

1275 James Dr Ste B
Enterprise, AL 36330

Phone

(251) 599-6445

Fax

(801) 315-4946

NPI assigned

Apr 16, 2018

Last updated

May 31, 2018By 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

Robert W Hannahan, MDNPI 1720074818

Title

Owner

Phone

(334) 417-0450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Hannahan Interventional spine specialist Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

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.

• Robert Hannahan, MD

  • Anesthesiology Physician
  • Enterprise, AL
  • NPI 1720074818

  FL

  Medicare reassignment Authorized official
• Howard A Cox, DPM

  • Podiatrist
  • Mobile, AL
  • NPI 1831267863

  Single Specialty

  NPD
• Steven Charles Runkel, D.C.

  • Chiropractor
  • Dothan, AL
  • NPI 1144318593
  NPD (past)
• Clint M Adams, APRN

  • Family Medicine Physician
  • Bonifay, FL
  • NPI 1801746383
  NPD (past)
• Monica Barfield, ARNP

  • Family Nurse Practitioner
  • Port St Joe, FL
  • NPI 1225538390
  NPD (past)
• Candi Calderon, CPNP

  • Pediatric Nurse Practitioner
  • Port St Joe, FL
  • NPI 1245579440
  NPD (past)
• Kyle Vincent Contini, M.D.

  • Family Medicine Physician
  • Bonifay, FL
  • NPI 1336400266
  NPD (past)
• Rebekah Elisabeth Contini, M.D.

  • Family Medicine Physician
  • Bonifay, FL
  • NPI 1598026429
  NPD (past)
• Katie M Danielson, ARNP

  • Acute Care Nurse Practitioner
  • Panama City, FL
  • NPI 1396255410
  NPD (past)
• Amy E. Miller, APRN

  • Nurse Practitioner
  • Port St Joe, FL
  • NPI 1265984900
  NPD (past)
• Richard James Moore, D.O.

  • Family Medicine Physician
  • Bonifay, FL
  • NPI 1902167232
  NPD (past)
• Marietta Elise Solomon, APRN

  • Family Medicine Physician
  • Bonifay, FL
  • NPI 1407416951
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1972090991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381011747",
            "telephone_number": "334-417-0450",
            "fax_number": "801-315-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 JAMES DR STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "36330",
            "telephone_number": "251-599-6445",
            "fax_number": "801-315-4946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Edwards St",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302510",
            "country_code": "US",
            "telephone_number": "334-347-0584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANNAHAN COMPREHENSIVE PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "HANNAHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-417-0450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "20671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Hannahan Interventional spine specialist",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• GRS Counseling
• H. Russell Cook, P.C. (H. Russell Cook, D.O.)
• William H Hall, D.M.D., P.C.
• Katie Hallman, RBT
• Shelby Hammock
• Robert Hannahan, MD
• Scott K Hannen, D.C.
• Kalaiolono Hansen
• Hardy-Maye Counseling LLC
• Brandon P Hardy, DMD

• Pain Medicine (Anesthesiology) Physician in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.