ROBERT W. HANSEN (NPI# 1003882192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003882192 |
| Entity Type | Individual |
| Full Name | ROBERT W. HANSEN |
| Credential | M.D. |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Wachusett Emergency Physicians Boston MA 02241-5348 |
| Practice Telephone | 5084211400 |
| Practice Fax Number | 5084211490 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 76423 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110053835A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Hospital Rd, Leominster, MA 014532205 | 5084211400 | 5084211490 |
| 119 Belmont St, Worcester, MA 016052903 | 5084211400 | 5084211490 |
| 510 N Main St, Leominster, MA 014531814 | 5084211400 | 5084211490 |
| 201 Highland St, Clinton, MA 015101037 | 5084211400 | 5084211490 |
| 157 Union St, Marlborough, MA 017521228 | 5084211400 | 5084211490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774569 | Robert Jerel Hansen | Pharmacist | 1633 Lower Monitor Rd, Wenatchee, WA 98801-9021 | 2018-09-18 |
| 1023462991 | Robert Hansen | Chiropractor | 215 18th St Se, Owatonna, MN 55060-4003 | 2016-04-18 |
| 1508273418 | Robert Hansen | Counselor | 1202 23rd St S Ste 5, Fargo, ND 58103-2951 | 2014-07-14 |
| 1861578189 | Robert Carl Hansen Jr. | Dentist | 1115 South St, Waterloo, IA 50702-2330 | 2006-10-29 |
| 1265516652 | Robert G Hansen | Psychologist | One St Francis Drive, 9th Floor, Greenville, SC 29601 | 2006-10-24 |
| 1023191236 | Robert Kelly Hansen | Pharmacist | 514 Peregrine Cv, Layton, UT 84040-4514 | 2006-10-23 |
| 1407821317 | Robert M Hansen | Anesthesiology | 1335 Buenaventura Blvd, Suite 100, Redding, CA 96001-0160 | 2006-02-22 |
| 1619969227 | Robert Blaine Hansen | Psychiatry & Neurology | 6275 E Virginia Beach Blvd, Suite 303, Norfolk, VA 23502-2851 | 2005-08-19 |
| 1467019687 | Robert Hansen | Counselor | 232 E Canon Perdido St, Santa Barbara, CA 93101-2242 | 2019-05-22 |
| 1457783623 | Robert Eugene Hansen | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2013-07-30 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
| 1831232230 | Mark S Distefano | Emergency Medicine | Vernon Medical Center, 10 Winthrop Street, Worcester, MA 01604 | 2007-02-15 |
| 1477621217 | Kishani Heendeniya Heller | Emergency Medicine | Dept of Emegency Medicine, 20 Worcester Ctr Blvd, Worcester, MA 01608-1320 | 2006-12-01 |
| 1699880658 | Octavio J Diaz | Emergency Medicine | Saint Vincent Hospital, 20 Worcester Ctr Blvd, Worcester, MA 01608 | 2006-08-20 |
| 1801803648 | Thomas Andrew Gould | Emergency Medicine | St. Vincent Hospital-emergency Department, 123 Summer Street, Worcester, MA 01608 | 2006-08-02 |
| 1679556534 | Jonathan S. Grayzel | Emergency Medicine | 72 Pointe Rok Dr, Worcester, MA 01604-1467 | 2005-11-23 |
| 1457853301 | Jared Vona | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-07 |
| 1417489477 | Marc J. Rigatti | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-29 |
| 1578095857 | Powell L. Graham | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-28 |
| 1952832479 | Lia R. Garry | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-26 |
| Find all providers in WORCESTER | ||||
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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.