Jesse Joe Hanisch, M.D., PH.D.

Surgery Physician · Festus, MO

Individual Active NPI

NPI number 1497192785

Practice location

1400 Us Highway 61 Ste 310
Festus, MO 63028-4141
Phone
(636) 543-2140
Fax
(636) 933-1085

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NPI record

NPI
1497192785
Entity type
Individual (Type 1)
Enumeration date
May 28, 2013
Last updated
November 7, 2024
Certified
November 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 2024041767 MO
Surgery Physician 208600000X 036154307 IL

About Dr. Hanisch

Jesse Joe Hanisch, M.D., PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1400 Us Highway 61 Ste 310, Festus, MO 63028-4141. The NPI number 1497192785 was assigned on May 28, 2013 and the record was last updated on November 7, 2024.

Dr. Hanisch lists 2 licenses in the registry: #2024041767 (MO) for Surgery Physician; #036154307 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse Joe Hanisch, M.D., PH.D.?

The NPI number is 1497192785.

What is the phone number of Dr. Hanisch?

The phone number listed for the practice location is (636) 543-2140.

Where is Dr. Hanisch located?

1400 Us Highway 61 Ste 310, Festus, MO 63028-4141.

What is the taxonomy code for Dr. Hanisch?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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