KENNETH C. HANSON JR. (NPI# 1295734135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295734135 |
Entity Type | Individual |
Full Name | KENNETH C. HANSON JR. |
Credential | MD |
Practice Address |
900 Cooper Ave Saginaw MI 48602-5182 |
Mailing Address |
7905 E Curtis Rd Frankenmuth MI 48734-9583 |
Practice Telephone | 9895836521 |
Mailing Fax Number | 2622452248 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2019-10-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 01054195A | IN | Allopathic & Osteopathic Physicians |
N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036-141304 | IL | Allopathic & Osteopathic Physicians |
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
65793-20 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1295734135 | 05 | |
IN | RAIL ROAD | P00023838 | 01 |
WI | MERCYCARE INSURANCE | HANSOKEN | 01 |
IN | BC/BS | 000000640498 | 01 |
IN | 200336440A | 05 | |
IN | RAILROAD MEDICARE | P00841040 | 01 |
IN | BLUE CROSS/BLUE SHIELD | 000000198747 | 01 |
IN | RAILROAD MEDICARE | P00775286 | 01 |
IN | ANTHEM BC/BS | 000000668240 | 01 |
WI | BCBSWI | 1295734135 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376086090 | Kenneth Hanson | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2016-11-29 |
1225140437 | Kenneth Charles Hanson | Internal Medicine | 802 W King St, Ste Q, Owosso, MI 48867 | 2006-09-01 |
1710950324 | Kenneth N Hanson | Family Medicine | 3377 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-13 |
Street Address |
900 COOPER AVE |
City | SAGINAW |
State | MI |
Zip Code | 48602-5182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356940738 | Libing Kathy Dong | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-18 |
1932706884 | Robert Austin Hammond | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-05 |
1689289456 | Nader Alaaeldin Refai | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-09 |
1649884958 | Justin Lee Bielby | Nurse Anesthetist, Certified Registered | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-03 |
1225640345 | Andrew Caminata | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-19 |
1043820137 | Zachary Scott Yaker | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
1265042279 | Trusha Patel | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
1699385914 | Michael Megaly | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-01 |
1992315345 | Sean-matthew Gogola Calo | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-07-31 |
1285243964 | Austin Morse | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
Find all providers in zip 48602 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003087248 | Dalkeith Fitzlawson Tucker | Emergency Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2008-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
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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.