NEIL R HANNIGAN (NPI# 1508893090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508893090 |
| Entity Type | Individual |
| Full Name | NEIL R HANNIGAN |
| Credential | MD |
| Practice Address |
1901 S Union Ave Suite B7011 Tacoma WA 98405-1702 |
| Practice Telephone | 2536275755 |
| Practice Fax Number | 2536616200 |
| Mailing Telephone | 2536275755 |
| Mailing Fax Number | 2536616200 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD00041237 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 0242914 | 05 | |
| WA | 1116557 | 05 |
| Street Address |
1901 S UNION AVE SUITE B7011 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071394 | Advanced Physical Therapy & Balance Rehabilitation LLC | Clinic/Center | 1901 S Union Ave, Ste B7011, Tacoma, WA 98405-1807 | 2005-05-24 |
| 1770183345 | Alex Marie Goode | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-31 |
| 1871191239 | Amy N Winter | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-16 |
| 1417555251 | Aleah Driscoll | Physician Assistant | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-10-14 |
| 1982211470 | Vanessa Gray | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-09-28 |
| 1386258192 | Julia Raquel Teall | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-31 |
| 1073126033 | Hannah Rose Hugo | Dietitian, Registered | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-08-28 |
| 1538786124 | Ashley Jane Wells | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2020-06-29 |
| 1750917878 | Elizabeth Eredia | Behavior Technician | 1901 S Union Ave, Allenmore Building B Suite 6007, Tacoma, WA 98405 | 2020-03-20 |
| 1083252225 | Arianna Pernela | Behavior Technician | 1901 S Union Ave, Tacoma, WA 98405-1702 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
| 1124065321 | Thomas J Martin | Internal Medicine | 1708 S Yakima Ave, Suite 107, Tacoma, WA 98405 | 2006-05-31 |
| 1962407312 | John A Kennedy | Internal Medicine | 1624 S I St, Ste 303, Tacoma, WA 98405-5093 | 2005-06-14 |
| 1134377070 | Franciscan Medical Group | Internal Medicine | 1708 Yakima Ave, #107, Tacoma, WA 98405-5307 | 2008-09-04 |
| 1043472806 | Dustin Little | Internal Medicine | Madigan Army Medical Ctr, Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-07-01 |
| 1184821225 | Ho Won Lee | Internal Medicine | 1901 S Union Ave, Suite B-7011, Tacoma, WA 98405-1702 | 2007-07-02 |
| 1467505933 | Neil R Hannigan M D P S Inc | Internal Medicine | 1708 Yakima Ave, Suite 107, Tacoma, WA 98405-5307 | 2007-01-19 |
| 1215084025 | Melissa Yeh Kaptik | Internal Medicine | 1708 Yakima Ave, #107, Tacoma, WA 98405-5307 | 2007-01-04 |
| 1508926056 | Howard M. Cushner | Internal Medicine | Madigan Army Medical Ctr, 9040 Reid St Attn Mchj Qcr, Tacoma, WA 98431-1100 | 2006-12-12 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.