Individual provider Active NPI

Cecilia Gutierrez Hansen, DO

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1043548381
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036170154 Issued in IL
Practice address
5100 W Broad St
Columbus, OH 43228
Phone
(614) 544-1000
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102203435 VA
Emergency Medicine Physician 207P00000X 34.010676 OH
Hospitalist Physician 208M00000X 2495 TN
Emergency Medicine Physician 207P00000X 036170154 IL Primary
Emergency Medicine Physician 207P00000X 2495 TN

Addresses

Primary practice location

5100 W Broad St
Columbus, OH 43228

Mailing address

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000

Other practice location 1

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166

Other practice location 2

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 384-8791

Other practice location 3

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 4

921 E Franklin St
Kenton, OH 43326-2020
Phone (419) 673-0761

Other practice location 5

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 526-8000

Other practice location 6

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

Other practice location 7

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

Other practice location 8

110 Hospital Dr
Jefferson City, TN 37760-5282
Phone (865) 471-2500

Other practice location 9

8701 Old Troy Pike
Huber Heights, OH 45424-1066
Phone (937) 558-3338

Other practice location 10

100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700

Other practice location 11

450 Washington Jackson Rd Ste F
Eaton, OH 45320-8699
Phone (937) 456-8376

Other practice location 12

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791

Other practice location 13

405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3211

Other practice location 14

600 W Main St
Troy, OH 45373-2928
Phone (937) 980-7010

Other practice location 15

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2500

Other practice location 16

1997 Miamisburg Centerville Rd
Centerville, OH 45459-3811
Phone (937) 401-6228

Other practice location 17

6147 State Route 122
Middletown, OH 45005-5201
Phone (513) 261-3410

Other names 1

  • Dr. Cecilia Hansen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, TN, NM, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20121207000115 OH Practitioner - Emergency Medicine 0547412017 Reassigns benefits to 1 organization
I20130919000180 VA Practitioner - Emergency Medicine 0547412017 Reassigns benefits to 4 organizations
I20131121001623 TN Practitioner - Emergency Medicine 0547412017 Reassigns benefits to 5 organizations
I20220310000937 NM Practitioner - Emergency Medicine 0547412017 Reassigns benefits to 1 organization
I20240821000659 IL Practitioner - Emergency Medicine 0547412017

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Creek Emergency Group, PCGroup PAC ID 2466714571, 21 clinicians

Practice addresses (Care Compare)

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036170154ILMDEmergency Medicine Physician
34.010676OHMDEmergency Medicine Physician
2495TNMDEmergency Medicine Physician
0102203435VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince Jul 19, 2019 Accepting new patients
Tri-Cities Observation Services, PC Emergency Medicine CurrentSince Dec 13, 2017 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 13, 2016 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Jun 6, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Hardin Emergency Group LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 4, 2017 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince May 31, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 13, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 7, 2024 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine Past Accepting new patients

Locations (25 of 27)

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

199 W Main St
Shelby, OH 44875
Phone (419) 342-5015

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1043548381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281607",
            "telephone_number": "614-544-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-544-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-384-8791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "fax_number": "276-378-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Kenton",
            "state": "OH",
            "postal_code": "433262020",
            "country_code": "US",
            "telephone_number": "419-673-0761",
            "fax_number": "419-673-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Glessner Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032269",
            "country_code": "US",
            "telephone_number": "419-526-8000",
            "fax_number": "419-521-7960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-7500",
            "fax_number": "740-779-7934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243332227",
            "country_code": "US",
            "telephone_number": "276-236-8181",
            "fax_number": "540-236-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377605282",
            "country_code": "US",
            "telephone_number": "865-471-2500",
            "fax_number": "865-471-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 Old Troy Pike",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241066",
            "country_code": "US",
            "telephone_number": "937-558-3338",
            "fax_number": "937-558-3349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kettering Way",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450051155",
            "country_code": "US",
            "telephone_number": "937-458-4700",
            "fax_number": "937-458-4737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Washington Jackson Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Eaton",
            "state": "OH",
            "postal_code": "453208699",
            "country_code": "US",
            "telephone_number": "937-456-8376",
            "fax_number": "937-456-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Miamisburg Centerville Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427615",
            "country_code": "US",
            "telephone_number": "937-384-8791",
            "fax_number": "937-384-8729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454057538",
            "country_code": "US",
            "telephone_number": "937-723-3211",
            "fax_number": "937-723-4609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732928",
            "country_code": "US",
            "telephone_number": "937-980-7010",
            "fax_number": "937-980-7019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 N Monroe Dr",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453851619",
            "country_code": "US",
            "telephone_number": "937-352-2500",
            "fax_number": "937-352-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1997 Miamisburg Centerville Rd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454593811",
            "country_code": "US",
            "telephone_number": "937-401-6228",
            "fax_number": "937-401-6447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6147 State Route 122",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055201",
            "country_code": "US",
            "telephone_number": "513-261-3410",
            "fax_number": "513-261-3419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CECILIA",
        "middle_name": "GUTIERREZ",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102203435",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010676",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "2495",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036170154",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "2495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "HANSEN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.