MR. CHAD LARRY HANSON (NPI# 1023216256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023216256 |
Entity Type | Individual |
Full Name | MR. CHAD LARRY HANSON |
Credential | MD |
Practice Address |
701 Hewitt Blvd Red Wing MN 55066-2848 |
Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
Practice Telephone | 6512675000 |
Mailing Telephone | 5072842511 |
Enumeration Date | 2007-07-10 |
Last Update Date | 2020-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7203 | MN | Allopathic & Osteopathic Physicians |
N | 225100000X | Physical Therapist | 7203 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225100000X | Physical Therapist | 1046 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467517011 | Chad Jerome Hanson | Physical Therapist | 1914 S Sycamore Ave, Suite 108, Sioux Falls, SD 57110 | 2006-12-26 |
1518574417 | Chad L Hanson | Physical Therapist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2020-09-25 |
1316373624 | Chad N Hanson | Counselor | 220 10th Ave S, Nampa, ID 83651-3832 | 2013-09-18 |
1649561713 | Chad Hanson | Orthopaedic Surgery | 1809 E 13th St, Tulsa, OK 74104-4419 | 2011-04-25 |
1659583375 | Chad Michael Hanson | Orthopaedic Surgery | 2800 E Desert Inn Rd, Suite #100, Las Vegas, NV 89121-3608 | 2007-05-04 |
1073587366 | Chad Michael Hanson | Dentist | 405 E Main Street, Blooming Prairie, MN 55917 | 2006-02-14 |
Street Address |
701 HEWITT BLVD |
City | RED WING |
State | MN |
Zip Code | 55066-2848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932101128 | Brian D Proctor | Psychiatry & Neurology | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2005-06-01 |
1063027332 | Ryan Hannan | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-09-13 |
1164035838 | Jennifer Kuehn | Clinical Exercise Physiologist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-08-24 |
1174147607 | Gina Lee | Advanced Practice Midwife | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-06-01 |
1942832712 | Jacqueline J Meyer-rostad | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-10 |
1326679853 | Joseph Gonzales | Dietitian, Registered | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-03 |
1669003133 | Sara Lynn Stenlund | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-03 |
1013556489 | Lara Louise Beacom | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-01-02 |
1306482229 | Brian Burroughs | Physician Assistant | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2019-11-26 |
1417593922 | Mary Verdun | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2019-11-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
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Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578583431 | Martin Engel | Radiology | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
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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.