Theodore T Hanson, PARAMEDIC

Primary specialty

ParamedicTaxonomy code 146L00000X

License

P012395 Issued in GA

Practice address

1343 Baileys Cor
Marietta, GA 30062-2072

Phone

(404) 444-3040

NPI assigned

Aug 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ted Hanson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Atl Ally-Med Transport Logistics, LLC.

  • Ambulance
  • Marietta, GA
  • NPI 1336815588
  NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1184390312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 BAILEYS COR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622072",
            "telephone_number": "404-444-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 BAILEYS COR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622072",
            "telephone_number": "404-444-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THEODORE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "P012395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TED",
            "last_name": "HANSON",
            "credential": "PARAMEDIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine L Hanley, REGISTERED NURSE
• Muriel Keith Hanna Jr., M.D.
• Nydia Rodriguez Hanna, R.PH. PH.D.
• William Robert Hansmann, D.D.S.
• Natasha A Hanson Okorley, PA-C
• Happily Attached Sex and Relationship Therapy
• Happy Hungry Hippos
• Khwaja Fahad Haq, MD
• Michele Harbeson, BS, DC
• Jennifer Harbin, MS, LPC, NCC

• Paramedic in Marietta, GA
• Providers in Marietta, GA by specialty
• Paramedic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.