Douglas Hansen (NPI# 1124061619, PAC ID# 6103821400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1124061619 |
| PAC ID by PECOS | 6103821400 |
| Professional Enrollment ID | I20150822014913 |
| Full Name | Douglas Hansen |
| Organization Legal Name | DRS CLACK SPENCER WHITE AND MCCORMACK PA |
| Address |
2001 Webber St Sarasota FL 34239-5237 |
| Phone Number | 9413628900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2860459211 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| 100175 | DESOTO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2001 Webber St, Sarasota, FL 34239-5237 | 9413628900 | DRS CLACK SPENCER WHITE AND MCCORMACK PA |
| Organization Legal Name | DRS CLACK SPENCER WHITE AND MCCORMACK PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mariana Moreno Prats | Pathology | Drs Clack Spencer White and Mccormack Pa | 1700 S Tamiami Tr, Sarasota Pathology, Sarasota, FL 34239-3509 |
| Jeffrey F Zacks | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Adrienne L Hery | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Stephen C Schmechel | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Christina Lee Warner | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Jason M Tedesco | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Kevin M Mccormack | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Thomas J Reed | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Street Address |
2001 WEBBER ST |
| City | SARASOTA |
| State | FL |
| Zip | 34239-5237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey F Zacks | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Adrienne L Hery | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Stephen C Schmechel | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Christina Lee Warner | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Jason M Tedesco | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Kevin M Mccormack | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Thomas J Reed | Pathology | Drs Clack Spencer White and Mccormack Pa | 2001 Webber St, Sarasota, FL 34239-5237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Schwartz | Ophthalmology | 1219 S E Ave, Suite 105, Sarasota, FL 34239 | |
| Ryan Taylor Johnson | Chiropractic | 1775 Arlington St, Suite 2, Sarasota, FL 34239-2143 | |
| James L. Slocum | Psychiatry | 1775 Arlington St, Suite 3, Sarasota, FL 34239-2143 | |
| Mark A Checcone | Otolaryngology | 1958 Prospect St, Sarasota, FL 34239-2217 | |
| Matthew Edlund | Psychiatry | 1241 S Tamiami Trl, Sarasota, FL 34239-2219 | |
| Annette L Polit | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Cheryl A Mcfarlin | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Daniel L Swanson | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Elmer T Arne Jr. | Cardiovascular Disease (cardiology) | 1250 S Tamiami Trl, Suite 401, Sarasota, FL 34239-2221 | |
| William F Bennett | Orthopedic Surgery | 1250 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2221 | |
| Find all physicians in zip 34239 | |||
| City | SARASOTA |
| Zip Code | 34239 |
| Specialty | PATHOLOGY |
| City + Specialty | SARASOTA + PATHOLOGY |
Please comment or provide details below to improve the information on Douglas Hansen.
| 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.