DR. DAVID WILLIAM HANSEN (NPI# 1003105768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003105768 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILLIAM HANSEN |
| Credential | MD, MPH |
| Practice Address |
3229 E. Genesee St Suite 1 Syracuse NY 13214 |
| Mailing Address |
251 Salina Meadows Pkwy Suite 100 Syracuse NY 13212-4516 |
| Practice Telephone | 3154645726 |
| Practice Fax Number | 3154642510 |
| Mailing Telephone | 3154642000 |
| Mailing Fax Number | 3154642010 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 60409 | WI | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
292193 | NY | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
01075810A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 1003105768 | 05 | |
| WI | 1003105768 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1710185806 | David James Hansen | Psychologist | 325 Burnett Hall, University of Nebraska Lincoln, Lincoln, NE 68588-0311 | 2007-07-10 |
| 1710047865 | David John Hansen | Optometrist | 406 Rosedale Center, Pearle Vision, Roseville, MN 55113 | 2006-12-11 |
| 1194893610 | David Cardon Hansen | Chiropractor | 3220 East Baseline Rd., Suite 112, Phoenix, AZ 85042 | 2006-12-01 |
| 1326129784 | David E Hansen | Dentist | 1530 S Union Ave Ste 7, Tacoma, WA 98405-1954 | 2006-10-18 |
| 1851367056 | David Wayne Hansen | Anesthesiology | 183 W Oakland Ave, Oakland, NJ 07436-1409 | 2006-02-27 |
| 1417932062 | David Edward Hansen | Social Worker | 7 East Hendricks Street, Shelbyville, IN 46176-2124 | 2005-12-07 |
| 1790779171 | David J. Hansen | Chiropractor | 514 28 1/4 Rd, Suite 1, Grand Junction, CO 81501-4961 | 2005-08-31 |
| 1659363422 | David Michael Hansen | Counselor | 37 Fairmont Ave, Poughkeepsie, NY 12603-2423 | 2005-08-18 |
| Street Address |
3229 E. GENESEE ST SUITE 1 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740536085 | Merve Kutahyalioglu | Internal Medicine | 3229 E. Genesee St, Syracuse, NY 13214 | 2012-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| 1518188796 | Praveen K Simlote | Dentist | 6607 Kinne Rd., Dewitt, NY 13214 | 2007-05-02 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720004161 | Susan Elaine Stred | Pediatrics | 3229 E Genesee St, Ste. 1, Syracuse, NY 13214-2016 | 2006-07-15 |
| 1477591378 | Lauren Elizabeth Lipeski | Pediatrics | 3229 E Genesee St, Suite 1, Syracuse, NY 13214-2016 | 2006-06-03 |
| 1508845470 | Stanley J Mackowiak | Pediatrics | 191 Intrepid Ln, Syracuse, NY 13205-2548 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771990 | Larisa Anatolievna Rusyn | Pediatrics | 462 1st Ave Rm 8w52, New York, NY 10016-9196 | 2011-08-07 |
| 1285920314 | Yelena Kogelman | Pediatrics | 6701 Bay Pkwy, Brooklyn, NY 11204-4749 | 2011-06-27 |
| 1326346917 | Chitra Sekaran | Pediatrics | 2 Stonytown Rd, Manhasset, NY 11030-1118 | 2011-03-05 |
| 1497908826 | Bronx Pediatrics, PC | Pediatrics | 2869 Grand Concourse Ste 1, Bronx, NY 10468-1966 | 2008-10-29 |
| 1699927228 | Holly Caren Schachner | Pediatrics | 7 Winslow Pl, Larchmont, NY 10538-2612 | 2008-10-14 |
| 1427212612 | Loretta Iazzetti | Pediatrics | Box 1616, One Gustave Levy Place, New York, NY 10029 | 2008-07-16 |
| 1952565228 | Sofia Shapiro | Pediatrics | 192 Rte 117 Bypass Road, Mount Kisco Medical Group, PC, Bedford Hills, NY 10507-2146 | 2008-07-15 |
| 1528183480 | Queens Endocrinology Partners | Pediatrics | 9320 Roosevelt Ave # A, 2nd Fl, Jackson Heights, NY 11372-7904 | 2007-03-20 |
| 1548396914 | Elka E. Jacobson | Pediatrics | 445 Lenox Road Box 49, Suny Downstate Medical Center Pediactrics, Brooklyn, NY 11203 | 2007-02-27 |
| 1275695298 | Paul Saenger | Pediatrics | 150 Lockwood Ave Ste 34, New Rochelle, NY 10801-4914 | 2006-12-15 |
| 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.