WILLIAM J. HANSHAW, M.D., P.C. (NPI# 1013122167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013122167 |
| Entity Type | Organization |
| Organization Name | WILLIAM J. HANSHAW, M.D., P.C. |
| Practice Address |
903 Vermont St Quincy IL 62301-3049 |
| Practice Telephone | 2172280090 |
| Practice Fax Number | 2172289464 |
| Mailing Telephone | 2172280090 |
| Mailing Fax Number | 2172289464 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | DR. WILLIAM J HANSHAW (PHYSICIAN) |
| Authorized Official Telephone | 2172280090 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD ID | 100272 | 01 |
| IL | HEALTHLINK | 104600 | 01 |
| Street Address |
903 VERMONT ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801048921 | Katie Brouillard O'brien | Dermatology | 36 Adams Street, Quincy, MA 02169 | 2008-10-21 |
| 1942406210 | Associates of South Shore Dermatology | Dermatology | 5oo Congress St, 2h, Quincy, MA 02169 | 2007-06-25 |
| 1629003686 | Elise Bilodeau Mccarthy | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2006-07-11 |
| 1902870876 | William J Hanshaw | Dermatology | 903 Vermont Street, Quincy, IL 62301 | 2006-02-15 |
| 1750862611 | Sara Balakrishnan | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2018-08-28 |
| 1467932251 | Integrated Dermatology of Massachusetts, LLC | Dermatology | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2018-08-21 |
| 1477937480 | Dermasap Pllc | Dermatology | 500 Congress St, B1, Quincy, MA 02169-0908 | 2015-07-20 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| 1710387386 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2014-09-02 |
| Find all providers in QUINCY | ||||
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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.