Ernest Charles Hansen III, M.D
Individual provider Active NPI Emergency Medicine Physician · Slidell, LA
NPI 1164465704 · NPPES record last updated Nov 8, 2011
Key facts
- NPI
- 1164465704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD.020857 (LA)
- Practice address
- 100 Medical Center Drive
Slidell, LA 70461-5520 - Phone
- (985) 646-5189
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vincent Emergency Group, LLC
Luling Emergency Group LLC
Kenner Emergency Group LLC
St. John Emergency Group LLC
Hospital Service District No. 1 of Caldwell Parish
Sport and Spine Clinic LP
Practice addresses (Care Compare)
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 280-2200
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242
180 W Esplanade Ave
Kenner, LA 70065-6001
Phone (504) 468-8600
1900 W Airline Hwy
La Place, LA 70068-3338
Phone (985) 652-7000
7939 Hwy 165
Columbia, LA 71418-3327
Phone (318) 649-6106
PO Box
Suite 1079
Columbia, LA 71418-1079
PO Box
Suite 1079
Columbia, LA 71418-3327
PO Box
Suite 297
Greenwood, WI 54437
Hospital & facility affiliations
- Slidell Memorial Hospital
- Citizens Medical Center
- St Charles Parish Hospital
- Ochsner Medical Center-Kenner
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050414000335 | LA | Practitioner - Emergency Medicine | 1355388067 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.020857 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luling Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| St. John Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Hospital Service District No. 1 of Caldwell Parish | Emergency Medicine | Current |
Accepting new patients |
| Thibodaux Emergency Physicians Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Vincent Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Kenner Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Raceland Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Hospital Service District No. 1 Caldwell Parish | Current |
Accepting new patients | |
| Lee Robert Domangue, M.D., a Professional Medical Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Interoperability endpoints
- ehansen3506@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 020857 | LA | |
| Emergency Medicine Physician | 207P00000X | MD.020857 | LA | Yes |
Addresses
Primary practice location
100 Medical Center Drive
Slidell, LA 70461-5520
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1656577 | Medicaid | LA | |
| 00123080 | Medicaid | MS |
NPI Registry JSON
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1164465704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DRIVE",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615520",
"telephone_number": "985-646-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ERNEST",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "020857",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.020857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1656577",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123080",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
- Samuel G Hanes
- Hanger Prosthetics & Orthotics Inc
- Ginger J Hanrahan
- Hans E Schuller M D LLC
- Hans E Schuller MD Apmc
- Jennifer Elizabeth Hansen
- William Hansen
- Brianna Florence Hardy
- Darlene Hardy
- John Jared Harmon
All providers in Slidell, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.