RAE RICHARD HANSON (NPI# 1639142623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639142623 |
| Entity Type | Individual |
| Full Name | RAE RICHARD HANSON |
| Credential | MD |
| Practice Address |
1400 Bellinger St Eau Claire WI 54703-5222 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2009-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
38399 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32287700 | 05 |
| Street Address |
1400 BELLINGER ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456848 | Ganesh Ram | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2005-06-13 |
| 1467050807 | Rachel E Ciresi | Physical Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-10-16 |
| 1427668805 | Taran Allan Brody | Speech-Language Pathologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-07-31 |
| 1720608300 | John Anthony Zadroga | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-23 |
| 1982223541 | Michelle Botts Olson | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-14 |
| 1003435728 | Sarah Hotovy | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-13 |
| 1730708520 | Sasha Marie Ulrich | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-11 |
| 1134757248 | Rajani Kasana | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-01 |
| 1902439813 | Jessica Ewing | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-19 |
| 1366075756 | Kayla Sue Meixner | Occupational Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609988310 | Jon P Konzen | Psychiatry & Neurology | 950 W Clairemont Ave, Suite B, Eau Claire, WI 54701-6176 | 2006-08-31 |
| 1326441841 | Chippewa Valley Neuromonitoring, LLC | Psychiatry & Neurology | 950 W Clairemont Ave, Eau Claire, WI 54701-6192 | 2014-09-29 |
| 1508184755 | Scott D Spritzer | Psychiatry & Neurology | 1221 Whipple St, Eau Claire, WI 54703 | 2010-05-12 |
| 1538358098 | Leonardo G Fugoso Jr. | Psychiatry & Neurology | 733 W Clairemont Ave, Eau Claire, WI 54701-6101 | 2007-10-22 |
| 1306987771 | Chippewa Valley Neurosciences,llc | Psychiatry & Neurology | 950 W Clairemont Ave, Suite B, Eau Claire, WI 54701-6176 | 2007-02-09 |
| 1629179221 | Sharat Ahluwalia | Psychiatry & Neurology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-09-26 |
| 1073532396 | Anna W Cothron | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-07-18 |
| 1962453704 | Adriana A Kori | Psychiatry & Neurology | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-05-15 |
| 1013980838 | David Andrew Nye | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-10 |
| 1093788515 | Donn David Dexter | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-02-08 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
Please comment or provide details below to improve the information on RAE RICHARD HANSON.
| 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.