KEITH A HANSEN (NPI# 1023014719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023014719 |
| Entity Type | Individual |
| Full Name | KEITH A HANSEN |
| Credential | M.D. |
| Practice Address |
1500 W 22nd St Ste 102 Sioux Falls SD 57105-1503 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053287700 |
| Practice Fax Number | 6053287775 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2010-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
4416 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6201153 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083076608 | Keith Samuel Hansen | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave, S-321, San Francisco, CA 94143-2205 | 2016-03-23 |
| 1497886246 | Keith Sterling Hansen | Chiropractor | 891 E 9400 S, Sandy, UT 84094-3671 | 2007-03-07 |
| 1447350939 | Keith L Hansen | Family Medicine | 1720 Central Ave E, Hampton, IA 50441-1869 | 2006-09-24 |
| Street Address |
1500 W 22ND ST STE 102 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730356 | Tim M Ridgway | Internal Medicine | 1500 W 22nd St, Ste 101, Sioux Falls, SD 57105-1503 | 2005-06-16 |
| 1265928907 | Ashley Nicole Moisan | Nurse Practitioner | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-07-05 |
| 1871001495 | Andrea Neil Nelson | Registered Nurse | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-01-17 |
| 1407309339 | Shelby Brown | Genetic Counselor, MS | 1500 W 22nd St, #401, Sioux Falls, SD 57105-7702 | 2016-07-27 |
| 1285007773 | Erin E Vande Lune | Advanced Practice Midwife | 1500 W 22nd St, Suite 301, Sioux Falls, SD 57105-7702 | 2015-11-05 |
| 1811379308 | Raeann Kragenbring | Genetic Counselor, MS | 1500 W 22nd St, Suite 401, Sioux Falls, SD 57105-7702 | 2015-06-22 |
| 1558769356 | Lindsay Dawn Horstman | Nurse Practitioner | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2014-12-09 |
| 1780928366 | Lior Borovik | Genetic Counselor, MS | 1500 W 22nd St, Suite 401, Sioux Falls, SD 57105-7702 | 2012-11-20 |
| 1598010662 | Betsy Jo Rentschler | Nurse Practitioner | 1500 W 22nd St, Ste 402, Sioux Falls, SD 57105-7702 | 2012-07-16 |
| 1487923991 | Sanford Clinic | Genetic Counselor, MS | 1500 W 22nd St, Ste 401, Sioux Falls, SD 57105-7702 | 2011-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093825408 | Tiffany A Von Wald | Obstetrics & Gynecology | 1500 W 22nd St Ste 102, Sioux Falls, SD 57105-1503 | 2006-08-30 |
| 1336772128 | Amanda Tilberg | Obstetrics & Gynecology | 1500 W 22nd St Ste 102, Sioux Falls, SD 57105-1503 | 2020-02-20 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.