Healthcare Provider Details
I. General information
NPI: 1043361298
Provider Name (Legal Business Name): ADAM JAMES HANJE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/15/2007
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3400 OLENTANGY RIVER RD
COLUMBUS OH
43202-1523
US
IV. Provider business mailing address
3400 OLENTANGY RIVER RD
COLUMBUS OH
43202-1523
US
V. Phone/Fax
- Phone: 614-754-5500
- Fax: 614-754-5501
- Phone: 614-754-5500
- Fax: 614-754-5501
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RT0003X |
| Taxonomy | Transplant Hepatology Physician |
| License Number | 35.081999 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | 35.081999 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: