TARA MELGARY HANSEN


Address: 401 Division St, South Charleston, WV 25309-1455
Phone: 3047663413

TARA MELGARY HANSEN (NPI# 1578839957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578839957
Entity Type Individual
Full Name TARA MELGARY HANSEN
Other Name TARA MARIE MELGARY
Credential M.D.
Practice Address 401 Division St
South Charleston
WV 25309-1455
Mailing Address 4605 Maccorkle Ave Sw
South Charleston
WV 25309-1311
Practice Telephone 3047663413
Practice Fax Number 3047665654
Mailing Telephone 3044144800
Mailing Fax Number 3044144801
Enumeration Date 2012-03-29
Last Update Date 2020-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
28718 WV Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
35129694 OH Allopathic & Osteopathic Physicians

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1770836678 Tara Hansen Social Worker 77b Warren St, Brighton, MA 02135-3601 2012-10-17
1528239803 Tara Hansen Speech-Language Pathologist 1952 E 7000 S, Salt Lake City, UT 84121-6877 2008-03-14

Office Location

Street Address 401 DIVISION ST
City SOUTH CHARLESTON
State WV
Zip Code 25309-1455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396741880 Narender Rao Jogenpally Internal Medicine 401 Division St, Ste 100, South Charleston, WV 25309-1455 2005-06-21
1144770157 Katrina Walker Nurse Practitioner 401 Division St, Suite 205, South Charleston, WV 25309-1455 2016-10-13
1427480953 South Charleston Family Medicine Family Medicine 401 Division St, Ste 205, South Charleston, WV 25309-1455 2013-08-07
1437407376 Summit Orthopedics Specialist 401 Division St, Suite 104, South Charleston, WV 25309-1455 2012-08-27
1124274303 John Ponugupati Internal Medicine 401 Division St, Suite 100, South Charleston, WV 25309-1455 2008-08-07
1326256124 Wvupc Kanawha Valley Fp (lab) Clinical Medical Laboratory 401 Division St, Suite 205, South Charleston, WV 25309-1455 2007-05-18
1780800110 Nicole Wiley Family Medicine 401 Division St, Suite 205, South Charleston, WV 25309 2007-04-17
1659419653 Bali Surgical Practice Pllc Surgery 401 Division St, Suite 202, South Charleston, WV 25309-1455 2007-02-02
1548314230 Kuruvilla John, Md, Inc. Psychiatry & Neurology 401 Division St, Suite 104, South Charleston, WV 25309-1455 2007-01-22
1467522185 Elma Z Bernardo Md and Associates Inc Psychiatry & Neurology 401 Division St, Suite 203, South Charleston, WV 25309-1455 2006-11-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699376905 Lovie Bradshaw Technician 4823 Tennessee St., South Charleston, WV 25309 2020-11-03
1306447735 Barbara Mackenzie Technician 4224 Kanawha Turnpike, South Charleston, WV 25309 2020-11-03
1548861974 Sarah Nichols Technician 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 2020-11-03
1629690177 Jennifer Mabry-goins Technician 4505 River Avenue, S Charleston, WV 25309 2020-05-07
1811537715 Brandon C Dean Psychologist 4857 Macorkle Ave. Sw, South Charleston, WV 25309 2020-01-09
1467096057 Linda Mullins Technician 60 Hayvon Lane, South Charleston, WV 25309 2019-11-06
1831743616 Ann Myriah Beck Nurse Practitioner 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 2019-07-30
1942671227 Edward W Eskew Family Medicine 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 2015-10-13
1720468218 Link Investments LLC Pharmacy 5151 Macorkle Avenue, South Charleston, WV 25309 2015-06-01
1366840951 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 304 Southbridge Blvd., S.ccharleston, WV 25309 2014-12-12
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366508715 Lyubov Girshovich Radiology 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 2006-12-29
1427072446 Jose Paras Barba Radiology 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 2006-07-26
1871563395 Maury M Rosenstein Radiology 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 2006-01-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164687521 Logan Oncology Care Associates, LLC Radiology 601 Holden Road, Logan, WV 25601-0000 2008-07-25
1235290214 Velayudhan Sahadevan Radiology 155 Dry Hill Road, Beckley, WV 25801 2006-12-13
1437192630 Charles H Shelton IIi Radiology 187 Skylar Dr, Lewisburg, WV 24901-9359 2006-06-14
1184667826 Greenbrier Valley Radiation Oncology, Pllc Radiology 187 Skylar Drive, Fairlea, WV 24901-9359 2006-06-13
1063469625 Radiation Oncology Associates, Inc. Radiology 210 New Hope Rd, Princeton, WV 24740-2136 2006-05-28
1972562627 John C Frich Radiology 1stadium Dr, Morgantown, WV 26506-7911 2006-03-21
1962867408 Wheeling Hospital, Inc. Radiology 3 E Benjamin Dr, New Martinsville, WV 26155-2705 2015-12-29
1770889511 Malcolm D Mattes Radiology 101 Stadium Dr, Morgantown, WV 26506-7911 2011-01-26
1770803314 Phuong Nguyen Radiology 2000 Eoff St, Wheeling, WV 26003-3823 2010-06-06
1285950873 Rebekah L Young Radiology 1400 Hal Greer Blvd, Huntington, WV 25701-4114 2010-04-08
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Competitor

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City SOUTH CHARLESTON
Zip Code 25309

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Dataset Information

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.

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