Internal Medicine MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE MD LLC

Practice address

14153 Yosemite Dr Ste 104
Hudson, FL 34667-8065

Phone

(727) 267-6490

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John Hanna, MDNPI 1548765464

Title

Manager

Phone

(727) 267-6490

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Internal Medicine MD LLC

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1801683388

  O20220922001587

  Same enrollment

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Hanna, MD

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1548765464
  Medicare reassignment Care Compare group NPD Authorized official
• Miranda Denise McWhirter, AGACNP-BC

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1124896766
  Medicare reassignment Care Compare group NPD
• Amanda Nicole Durrett, FNP

  • Family Nurse Practitioner
  • Hudson, FL
  • NPI 1003644055
  Medicare reassignment NPD
• Mayra I Alfonso, MD

  • Physical Medicine & Rehabilitation Physician
  • West Palm Beach, FL
  • NPI 1033298393
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1982332011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10642 FIREBRICK CT",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555030",
            "telephone_number": "727-267-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR STE 104",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678065",
            "telephone_number": "727-267-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-267-6490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Wayne Ingram, MS, OTR/L
• Integrated Regional Laboratories Pathology Services, LLC
• Integrity - Hudson Manor, LLC
• Integrity-Vehicles, LLC
• Internal Medicine Clinic
• Interventional Pain Institute of West Florida
• Interventional Pain Institute of West Florida, Inc
• Invigorate Counseling, LLC
• Ipatia Magnus
• Irene Kardashian M.D. , P.a.

• Internal Medicine Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.