DR. MATTHEW P HANSEN (NPI# 1174593735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174593735 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW P HANSEN |
| Credential | D.P.M. |
| Practice Address |
32743 23 Mile Rd Ste 210 Chesterfield MI 48047-1985 |
| Practice Telephone | 5867253444 |
| Practice Fax Number | 5867250984 |
| Mailing Telephone | 5867253444 |
| Mailing Fax Number | 5867250984 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901002044 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GREAT LAKES HEALTH PLAN | 148898 | 01 |
| MI | 4941655 | 05 | |
| MI | CAPE | 000000012442 | 01 |
| MI | M-CARE | 16993 | 01 |
| MI | CARE CHOICES | 139713 | 01 |
| MI | AETNA | 7057667 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649751934 | Matthew Hansen | Physician Assistant | 875 Oak St. Se Ste 5020, Salem, OR 97301 | 2018-08-24 |
| 1215372198 | Matthew David Hansen | Physical Therapist | 5650 S Green St, Murray, UT 84123-5796 | 2013-05-06 |
| 1598008153 | Matthew Christian Hansen | Dentist | 7934 Sw 80th Dr, Gainesville, FL 32608-9534 | 2013-04-02 |
| 1720287840 | Matthew Hansen | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw-em, Portland, OR 97239-3011 | 2007-07-18 |
| 1871686444 | Matthew Vernon Hansen | Physician Assistant | 221 3rd St West, 12 Medical Group, Randolph, TX 78150-4801 | 2006-10-02 |
| 1659301083 | Matthew Hansen | Physical Therapist | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2006-07-03 |
| 1619433265 | Matthew Hansen | Specialist | 423 Great Oak Dr, Waite Park, MN 56387-2507 | 2019-02-19 |
| 1891145827 | Matthew Hansen | Optometrist | 1106 W Jackson St, Ozark, MO 65721-9164 | 2016-06-21 |
| 1548644909 | Matthew Lee Hansen | Pharmacist | 5330 E Washington St, Suite 105, Phoenix, AZ 85034-2140 | 2015-07-16 |
| 1104117399 | Matthew Alan Hansen | Internal Medicine | 1321 Colby Ave, Everett, WA 98201-1665 | 2011-04-22 |
| Street Address |
32743 23 MILE RD STE 210 |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48047-1985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079769 | Zeeshan Shahriar Husain | Podiatrist | 32743 23 Mile Rd, Ste 210, Chesterfield, MI 48047-2082 | 2005-08-10 |
| 1164953915 | Travis Turner | Physical Therapist | 32743 23 Mile Rd, Suite 220, Chesterfield, MI 48047-2082 | 2017-03-23 |
| 1841659919 | Jaclyn Garrett | Physical Therapist | 32743 23 Mile Rd, Chesterfield, MI 48047-1985 | 2016-02-18 |
| 1235597782 | Meagan Kiehl | Physical Therapist | 32743 23 Mile Rd, Ste 220, Chesterfield, MI 48047-2176 | 2016-01-29 |
| 1124381934 | Ryan James Rogers | Podiatrist | 32743 23 Mile Rd, Ste 210, Chesterfield, MI 48047-1985 | 2012-06-18 |
| 1013153386 | Marlene M Jackson | Licensed Practical Nurse | 32743 23 Mile Rd, Chesterfield, MI 48047-1985 | 2008-12-17 |
| 1124263751 | Janet Doran | Licensed Practical Nurse | 32743 23 Mile Rd, Chesterfield, MI 48047-1985 | 2008-12-11 |
| 1457596348 | Mary Jane Schantz | Registered Nurse | 32743 23 Mile Rd, Chesterfield, MI 48047-1985 | 2008-12-08 |
| 1699910588 | Carolyn Ann Seifert | Licensed Practical Nurse | 32743 23 Mile Rd, Chesterfield, MI 48047-1985 | 2008-12-08 |
| 1164667051 | Christine Pardo | Licensed Practical Nurse | 32743 23 Mile Rd, Chesterfield, MI 48047-1985 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1184289050 | Emily Virginia Barc | Speech-Language Pathologist | 50522 Elsey St, New Baltimore, MI 48047 | 2019-05-07 |
| 1629562665 | In Your Home Senior Assistance LLC | In Home Supportive Care | 33813 Bayview Drive, Chesterfield, MI 48047 | 2018-06-21 |
| 1669978805 | Tiffany Nicole Bankhead | Nurse's Aide | 35859 Cranbrook Ct., New Baltimore, MI 48047 | 2018-04-05 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1780107706 | Willow of Wonder Child & Family Therapy Pllc | Community/Behavioral Health | 51500 Birch St Unit C, New Baltimore, MI 48047 | 2017-07-21 |
| 1760903082 | Jason Aaron Johnson | Massage Therapist | 28390 Gamble Road, Chesterfield, MI 48047 | 2017-06-28 |
| 1699226431 | Aaron Curtis Teutsch | Counselor | 35031 23 Mile Rd., New Baltimore, MI 48047 | 2016-10-17 |
| 1285009506 | Adelle Lenhausen | Dental Hygienist | 36500 Front St, New Baltimore, MI 48047 | 2015-12-11 |
| 1528441359 | Elaine Genevieve Grant | Podiatrist | 32743 23 Mile Rd Ste 110, Chesterfield, MI 48047 | 2015-06-29 |
| Find all providers in zip 48047 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
| 1053326892 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 1726 Clarkson Rd, Chesterfield, MO 63017-4976 | 2006-07-30 |
| 1912125634 | Paul Mallamo D.p.m. P C | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-04-20 |
| 1427156942 | Howard Jaffe | Podiatrist | 1585 Woodlake Dr, Ste 200, Chesterfield, MO 63017-5740 | 2006-09-20 |
| 1033124888 | Constantine Kyramarios | Podiatrist | 1726 Clarkson Rd, Chesterfield, MO 63017-4976 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 48047 |
Please comment or provide details below to improve the information on DR. MATTHEW P HANSEN.
| 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.