DAVID JEFFREY HANSON (NPI# 1689217911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689217911 |
| Entity Type | Individual |
| Full Name | DAVID JEFFREY HANSON |
| Credential | PAC |
| Practice Address |
740 Mckinley Ave Ste 100 Kellogg ID 83837-2693 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2087831267 |
| Practice Fax Number | 8448073782 |
| Mailing Telephone | 2084150299 |
| Mailing Fax Number | 2086252070 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1806 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSE | PA1806 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698727 | David Hanson | Physical Therapist | 440 Breckenridge Rd, Verona, WI 53593-8393 | 2014-12-09 |
| 1629417605 | David Hanson | Chiropractor | 1928 W Wilson St, Batavia, IL 60510-2794 | 2013-06-23 |
| 1366649980 | David L. Hanson | Dentist | 1090 W Houghton Lake Dr, Prudenville, MI 48651-9613 | 2007-06-28 |
| 1083815252 | David J Hanson | Massage Therapist | 184 Myra Pl, Edison, NJ 08817-4224 | 2007-05-29 |
| 1720142920 | David L Hanson | Dentist | 910 Ne Tenney Rd Ste 117, Vancouver, WA 98685-2838 | 2006-12-21 |
| 1932262474 | David Jerome Hanson | Anesthesiology | 2829 University S Dr, Fargo, ND 58103-6050 | 2006-12-18 |
| 1740341304 | David M Hanson | Dentist | #4 Cedar Street, San Felipe, NM 87001 | 2006-12-13 |
| 1477634210 | David Herbert Hanson | Dentist | 2449 N Lincoln Ave, Chicago, IL 60614-2414 | 2006-10-18 |
| 1033220058 | David H Hanson | Family Medicine | 101 S Taylor Ave, Mason City, IA 50401-2849 | 2006-08-31 |
| 1255300372 | David Hanson | Pediatrics | University of Minnesota Children's Hospital, 500 Harvard Street, Minneapolis, MN 55455 | 2006-03-14 |
| Street Address |
740 MCKINLEY AVE STE 100 |
| City | KELLOGG |
| State | ID |
| Zip Code | 83837-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740632983 | Jessica Croston | Non-emergency Medical Transport (VAN) | 12 Slaughter House Gul, Wardner, Kellogg, ID 83837 | 2016-07-12 |
| 1568758720 | Daybreak Canyon LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1229 Country Club Rd., Kellogg, ID 83837 | 2011-06-24 |
| 1295034684 | Rusty M Wood | Physical Therapist | 704 Mckinley Avenue, Kellogg, ID 83837 | 2011-03-24 |
| 1295914760 | Silver Valley Emergency Physicians | Emergency Medicine | 3 Jacobs Gulch Road, Kellogg, ID 83837 | 2007-10-31 |
| 1629117429 | Community Ambulance Service Inc | Ambulance | 124 W Brown, Kellogg, ID 83837 | 2007-02-06 |
| 1396810255 | Steven Joseph Rinaldi | Dentist | 418 W Cameron Ave, Kellogg, ID 83837 | 2006-11-22 |
| 1760576193 | Kellogg Drugs LLC | Pharmacy | 131 West Cameron Ave, Kellogg, ID 83837 | 2006-10-02 |
| 1578654406 | Neil Orlew Norman | Dentist | 302 E Cameron Ave, Kellogg, ID 83837 | 2006-09-27 |
| 1285677278 | Loren Ken Zeitz | Anesthesiology | 25 Jacobs Gulch, Kellogg, ID 83837 | 2006-06-14 |
| 1962981951 | Joanne Elizabeth Swiatek | Occupational Therapist | 25 Jacobs Gulch Rd, Kellogg, ID 83837 | 2018-08-09 |
| Find all providers in zip 83837 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700076510 | Mountain Health Mid Level | Physician Assistant | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060681 | Travis Henman | Physician Assistant | 1404 Pomerelle Ave Ste 150, Burley, ID 83318-2012 | 2018-10-30 |
| 1952889685 | Cody Mattingly | Physician Assistant | 14601 S Pleasant Valley Rd, Kuna, ID 83634-2728 | 2018-08-03 |
| 1992174072 | Alexa Rhea | Physician Assistant | 2841 Juniper Dr Ste 2, Lewiston, ID 83501-4719 | 2015-09-18 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1407223274 | Michael Kenneth Wucinich | Physician Assistant | 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 | 2015-08-28 |
| 1811364177 | Ashley Laren Popadics | Physician Assistant | 1510 12th Ave Rd Ste 200, Nampa, ID 83686-6008 | 2015-08-21 |
| 1073915963 | Jessica Bishop | Physician Assistant | 1499 W Hays St, Boise, ID 83702-5029 | 2014-09-23 |
| 1447652813 | Jessea Camille Whitlow | Physician Assistant | 2392 Addison Ave E, Twin Falls, ID 83301-6745 | 2014-09-17 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1609204890 | Rachel Sawyer | Physician Assistant | 7405 Wild Horse Way, Nampa, ID 83686-5496 | 2013-10-24 |
| 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.