GLENN A HANSEN (NPI# 1194732669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194732669 |
| Entity Type | Individual |
| Full Name | GLENN A HANSEN |
| Other Name | GLENN A. HANSEN |
| Credential | D.P.M. |
| Practice Address |
2331 S Oneida St Green Bay WI 54304-5267 |
| Practice Telephone | 9204991177 |
| Practice Fax Number | 9204995398 |
| Mailing Telephone | 9204991177 |
| Mailing Fax Number | 9204995398 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2010-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
403-025 | WI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43217500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179698 | Glenn Eugene Hansen | Pain Medicine | 2520 Harwood Rd, Suite 200, Bedford, TX 76021-6709 | 2006-10-18 |
| Street Address |
2331 S ONEIDA ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437327475 | Glenn A. Hansen, D.p.m. | Clinic/Center | 2331 S Oneida St, Green Bay, WI 54304-5267 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592302 | Third Coast Foot and Ankle Sc | Podiatrist | 7001 S Howell Ave # 500, Oak Creek, WI 53154-1407 | 2020-03-11 |
| 1780878454 | Dr. Donald J. Schneekloth, D.p.m. | Podiatrist | 797 Winneconne Ave., Neenah, WI 54956 | 2007-09-05 |
| 1063614048 | Jack W Hutter Sc | Podiatrist | 422 Summit Ave, Oconomowoc, WI 53066-3749 | 2007-06-02 |
| 1801006986 | Rapids Foot Care Center | Podiatrist | 311 8th St S, Wisconsin Rapids, WI 54494-4622 | 2007-05-23 |
| 1316156318 | Darcia Merritt Dillard | Podiatrist | 11030 W Villa Ave, Milwaukee, WI 53224-2586 | 2007-05-22 |
| 1790819886 | Northwest Surgery Center Inc | Podiatrist | 1233 N Mayfair Rd Ste 304, Milwaukee, WI 53226-3255 | 2007-03-14 |
| 1396822730 | Paul Matthew Zerovec | Podiatrist | 1442 N Farwell Ave Ste 605, Milwaukee, WI 53202-2913 | 2006-11-01 |
| 1548294259 | William W Weis | Podiatrist | 331 E Puetz Rd, #105, Oak Creek, WI 53154 | 2006-07-10 |
| 1356378145 | John Julian Renard | Podiatrist | 2005 S. Lake Park Rd, Appleton, WI 54915 | 2006-06-27 |
| 1104878750 | Neal Jay Katz | Podiatrist | 664 W Washington Ave, Madison, WI 53703-2638 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
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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.