Joshua Jessie Dewar Smith Hanen (NPI# 1407293061, PAC ID# 5395984769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407293061 |
| PAC ID by PECOS | 5395984769 |
| Professional Enrollment ID | I20130614000305 |
| Full Name | Joshua Jessie Dewar Smith Hanen |
| Organization Legal Name | RIVER LAKE CLINIC LLC |
| Address |
4323 E Lake St Minneapolis MN 55406-2307 |
| Phone Number | 6127221003 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173749322 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4323 E Lake St, Minneapolis, MN 55406-2307 | 6127221003 | RIVER LAKE CLINIC LLC |
| Organization Legal Name | RIVER LAKE CLINIC LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michel E Hanen-smith | Optometry | River Lake Clinic LLC | 4323 E Lake St, Minneapolis, MN 55406-2307 |
| Sandra S Smith-hanen | Psychologist, Clinical | River Lake Clinic LLC | 4323 E Lake St, Minneapolis, MN 55406-2307 |
| Street Address |
4323 E LAKE ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55406-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michel E Hanen-smith | Optometry | River Lake Clinic LLC | 4323 E Lake St, Minneapolis, MN 55406-2307 |
| Sandra S Smith-hanen | Psychologist, Clinical | River Lake Clinic LLC | 4323 E Lake St, Minneapolis, MN 55406-2307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nimo Saleban Abdi | Nurse Practitioner | Gargar Urgent Care and Clinic | 2711 E Franklin Ave, Minneapolis, MN 55406-1105 |
| Mohamud D Afgarshe | Internal Medicine | Gargar Urgent Care and Clinic | 2711 E Franklin Ave, Minneapolis, MN 55406-1105 |
| Ayan A Hassan | Nurse Practitioner | Gargar Urgent Care and Clinic | 2711 E Franklin Ave, Minneapolis, MN 55406-1105 |
| Katherine A Bailey | Clinical Social Worker | 2637 S 27th Ave, Suite 222, Minneapolis, MN 55406-1565 | |
| Ashley Stifter | Physical Therapy | Horizon Physical Therapy LLC | 2700 E 28th St, Suite 160, Minneapolis, MN 55406-1575 |
| Tammy Lynn Saphir | Physical Therapy | Horizon Physical Therapy LLC | 2700 E 28th St, Suite 160, Minneapolis, MN 55406-1575 |
| Michael K Weiler | Physical Therapy | Horizon Physical Therapy, LLC | 2700 E 28th St, Suite 160, Minneapolis, MN 55406-1575 |
| Brian L Arvold | Chiropractic | Arvold Chiropractic | 2945 44th S Ave, Minneapolis, MN 55406-1826 |
| Lan Parker Luu | Internal Medicine | Allina Health System | 3024 Snelling Ave, Minneapolis, MN 55406-1911 |
| Maren E Flynn | Obstetrics/gynecology | Allina Health System | 3024 Snelling Ave, Minneapolis, MN 55406-1911 |
| Find all physicians in zip 55406 | |||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
| Specialty | OPTOMETRY |
| City + Specialty | MINNEAPOLIS + OPTOMETRY |
Please comment or provide details below to improve the information on Joshua Jessie Dewar Smith Hanen.
| 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.