Provider Demographics
NPI:1023262524
Name:HANKERSON ANESTHESIA GROUP PA
Entity type:Organization
Organization Name:HANKERSON ANESTHESIA GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:HANKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-646-2478
Mailing Address - Street 1:8900 STATE LINE RD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1960
Mailing Address - Country:US
Mailing Address - Phone:913-754-0467
Mailing Address - Fax:913-381-1180
Practice Address - Street 1:5329 PRIMROSE LAKE CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3521
Practice Address - Country:US
Practice Address - Phone:913-754-0467
Practice Address - Fax:913-381-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty