Denise S Hanisch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-30906 Issued in IA

Practice address

2720 Stone Park Blvd
Unitypoint Health-St. Luke'S
Sioux City, IA 51104-3734

Phone

(712) 279-3203

Fax

(712) 279-4995

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, IA2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hawarden Regional Healthcare Clinics LLC

  • Family Medicine Physician
  • Hawarden, IA
  • NPI 1750324612

  Family Medicine, IA

  Medicare reassignment NPD
• Pioneer Memorial Hospital & Health Services

  • Rural Health Clinic/Center
  • Viborg, SD
  • NPI 1619926706

  SD

  Medicare reassignment NPD
• Northwest Iowa Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550

  IA

  Medicare reassignment
• Hawarden Regional Healthcare Clinics LLC

  • Rural Health Clinic/Center
  • Hawarden, IA
  • NPI 1013955004
  NPD
• Avera St Marys

  • General Acute Care Hospital
  • Pierre, SD
  • NPI 1669457180
  NPD (past)
• Pediatric Hematology Clinic LTD

  • Pediatric Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1003956343
  NPD (past)
• Pediatric Hematology Oncology Pharmacy LTC

  • Pharmacy
  • Sioux Falls, SD
  • NPI 1952436099
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1154375608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "address_2": "UNITYPOINT HEALTH-ST. LUKE'S",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-279-3203",
            "fax_number": "712-279-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "address_2": "UNITYPOINT HEALTH-ST. LUKE'S",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-279-3203",
            "fax_number": "712-279-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANISCH",
        "first_name": "DENISE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-30906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Dawn Hamilton, FNP
• Stephanie Lynn Hamman, MA, CCC/SLP
• Amy Marie Hammerstrom, LMSW
• Kelly Ann Hancock, ARNP DNP ARNP FNP BC
• Hanger Prosthetics & Orthotics East Inc
• Matti Hannah
• Hanno Therapy Services Inc
• Danika Leigh Hansen, PMHNP
• Gentry Michael Hansen, DMD, MD
• Gracie Taylor Hansen, PHD

• All providers in Sioux City, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.