Hansen Medical Group PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HANSEN MEDICAL GROUP PSC

Practice address

189 Outer Loop
Louisville, KY 40214-5544

Phone

(502) 636-8668

Fax

(502) 363-6533

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Eric Hansen, MD PA

Title

President

Phone

(502) 363-8668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073629036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402145544",
            "telephone_number": "502-636-8668",
            "fax_number": "502-363-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 OUTER LOOP",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402145544",
            "telephone_number": "502-636-8668",
            "fax_number": "502-363-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN MEDICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-363-8668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Hannigan, D.M.D.
• Michael Hannigan, MD
• Michelle H Hannigan, APRN
• Hanny Homecare LLC
• Elizabeth A Hans, RNFA
• Dillyn Wray Hansen, OTD, OTR/L
• Jennifer Hansen, MFTA
• Julie Hansen
• Nicolai Lorenson Hansen, DC
• Patricia Julianna Hansen, M.D.

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.