DR. JACK HANNALLAH (NPI# 1497018915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497018915 |
| Entity Type | Individual |
| Full Name | DR. JACK HANNALLAH |
| Credential | MD, MBA, MPH |
| Practice Address |
2171 W Orange Grove Rd Tucson AZ 85741-3118 |
| Practice Telephone | 5202014980 |
| Mailing Telephone | 5202014980 |
| Mailing Fax Number | 5203369442 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
51583 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
51583 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 N Campbell Ave, Tucson, AZ 85724 | 5206267402 |
| Street Address |
2171 W ORANGE GROVE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706774 | Janet P Warner | Obstetrics & Gynecology | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-08-03 |
| 1255896544 | Modern Vascular of Tucson, LLC | Radiologic Technologist | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2019-01-31 |
| 1750426169 | Generations Healthcare for Women Pllc | Obstetrics & Gynecology | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2007-02-21 |
| 1013940485 | Mary Kay Durfee | Obstetrics & Gynecology | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2006-07-09 |
| 1407857642 | Robert J Kahler | Obstetrics & Gynecology | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-08-10 |
| 1356342901 | Victor Th Chen | Obstetrics & Gynecology | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-08-04 |
| 1053312835 | Howard Eisenberg | Obstetrics & Gynecology | 2171 W Orange Grove Rd, Tucson, AZ 85741-3118 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134633837 | Association of University Radiologists, PC | Radiology | 3900 N Camino Ojo De Agua, Tucson, AZ 85749-7819 | 2017-11-17 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1477998250 | Christopher Thomas Harms | Radiology | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2013-05-07 |
| 1831392083 | Miles B. Conrad | Radiology | 1501 N Campbell Ave, Dept. of Radiology, Tucson, AZ 85724-0001 | 2007-06-06 |
| 1164506978 | Stephen H Smyth | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139958 | Banner Imaging Services LLC | Radiology | 10474 W Thunderbird Blvd Ste 100, Sun City, AZ 85351-3015 | 2019-08-14 |
| 1629535091 | Comprehensive Interventional Care Centers, Pllc | Radiology | 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 | 2019-02-21 |
| 1720542137 | Priority Interventional Radiology LLC | Radiology | 8787 N Scottsdale Rd Ste 105, Scottsdale, AZ 85253-2338 | 2019-01-30 |
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1295262160 | Vein Ablation Specialists and Consultants LLC | Radiology | 7047 E Greenway Pkwy Ste 250, Scottsdale, AZ 85254-8113 | 2017-05-22 |
| 1588029672 | Advanced Vein Institute of Arizona, LLC | Radiology | 2155 E Conference Dr Ste 101, Tempe, AZ 85284-2604 | 2015-12-16 |
| 1649681842 | Vascular Vein & Imaging Center | Radiology | 2899 S Hope Dr, Yuma, AZ 85364-7487 | 2014-05-11 |
| 1255601613 | High Desert Radiology, P.C. | Radiology | 3439 Southern Vista Dr, Kingman, AZ 86401-0630 | 2012-01-03 |
| 1447316054 | Gnr Ventures, LLC | Radiology | 9440 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4569 | 2006-12-28 |
| 1295760916 | Pain Management & Rehabilitation Medicine Center PC | Radiology | 535 E Mckellips Rd Ste 111, Mesa, AZ 85203-2525 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
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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.