Jacob D Hantla
Medical Specialty
Professional ID
- NPI: 1598043572
- PECOS ID: 4789858846
- Enrollment ID: I20111129000803
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 030094
- Business Name (LBN)1: Abrazo Arrowhead Campus
- Hospital CCN2: 030024
- Business Name (LBN)2: St. Josephs Hospital And Medical Center
- Hospital CCN3: 030061
- Business Name (LBN)3: Banner Boswell Medical Center
- Hospital CCN4: 030093
- Business Name (LBN)4: Banner Del E Webb Medical Center
Medical Practices
- Organization Name: Arizona Heart Anesthesia Pllc
- Group Practice ID assigned by PECOS: 8729077334
- Number of Group Practice member: 46
Location
- Address1: 10401 W Thunderbird Blvd
- Address2:
- City: Sun City
- State: Arizona
- Zip Code: 85351
- Phone Number: (480)256-1518
Location
- Address1: 1930 E Thomas Rd
- Address2:
- City: Phoenix
- State: Arizona
- Zip Code: 85016
- Phone Number:
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):