Dale E Hansen Jr. (NPI# 1841293743, PAC ID# 4385687185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1841293743 |
| PAC ID by PECOS | 4385687185 |
| Professional Enrollment ID | I20111017000701 |
| Full Name | Dale E Hansen Jr. |
| Organization Legal Name | MEMPHIS RADIOLOGICAL PC |
| Address |
1938 Crescent Meadows Dr Holly Springs MS 38635-7419 |
| Phone Number | 6622521599 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1557333226 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 440109 | HARDIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 6622521599 | MEMPHIS RADIOLOGICAL PC |
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 6629329000 | MEMPHIS RADIOLOGICAL PC |
| 7400 Airways Blvd, Southaven, MS 38671-5863 | 6625361000 | MEMPHIS RADIOLOGICAL PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 97% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | MEMPHIS RADIOLOGICAL PC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Blankinship | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Brian Allen Green | Diagnostic Radiology | Memphis Radiological PC | 76 Tabb Dr, Suite E, Munford, TN 38058-8611 |
| Hollis H Halford Iii | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| James S Hausmann | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Benjamin C Holman | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Wesley Alex Angel | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Jennifer Boals | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| William A Graves | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Houston F Graves | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Timothy Donovan Sr. | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Street Address |
1938 CRESCENT MEADOWS DR |
| City | HOLLY SPRINGS |
| State | MS |
| Zip | 38635-7419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Stallworth | Emergency Medicine | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Stephanie M Hardin | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Nancy C Boatwright | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Ernest S Behnke | Diagnostic Radiology | Memphis Radiological PC | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Kenneth Williams | Internal Medicine | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Richard G Wiseman | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Stevan I Himmelstein | Interventional Cardiology | Specialty Physician Group LLC | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Randolph | Optometry | Holly Springs Eyecare Pllc | 640 J M Ash Dr, Holly Springs, MS 38635-0608 |
| Dana A Nash | Family Medicine | 1315 Hwy 4 E, Holly Springs, MS 38635-2112 | |
| Phyllis Wright | Nurse Practitioner | 153 A S Market St, Holly Springs, MS 38635-3029 | |
| Emmily T Hurdle | Nurse Practitioner | Saint Francis Physician Network, LLC | 491 A Craft St, Holly Springs, MS 38635-3251 |
| Cassandra Hawkins | Family Medicine | Saint Francis Physician Network, LLC | 491 A Craft St, Holly Springs, MS 38635-3251 |
| Lori S Duke | Nurse Practitioner | Fast Pace Mississippi Pllc | 602 Craft St, Holly Springs, MS 38635-3323 |
| Karla Michelle Burnett | Nurse Practitioner | Fast Pace Mississippi Pllc | 602 Craft St, Holly Springs, MS 38635-3323 |
| Vanessa Jill Simmons | Nurse Practitioner | Marshall Urgent Care | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 |
| Tracy A. Scott | Nurse Practitioner | Marshall Urgent Care | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 |
| Christina C Joyner | Nurse Practitioner | Marshall Urgent Care | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 |
| Find all physicians in zip 38635 | |||
| City | HOLLY SPRINGS |
| Zip Code | 38635 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HOLLY SPRINGS + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.