Individual provider Active NPI

Marlan L Hansen, MD

  • Hospitalist Physician
  • American Fork, UT
National Provider Identifier
1184634511
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
327162-1205 Issued in UT
Practice address
1159 E 200 N
Suite 150
American Fork, UT 84003-2022
Phone
(801) 855-2900
NPI assigned
Aug 8, 2006
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 327162-1205 UT Primary

Addresses

Primary practice location

1159 E 200 N
Suite 150
American Fork, UT 84003-2022

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 855-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050506000784 UT Practitioner - Internal Medicine 6800836941 Reassigns benefits to 3 organizations
Practice locations: American Fork, UT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327162-1205UTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 1, 1967 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 1, 1967 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 14, 1996 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Mar 25, 2016 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Mar 25, 2016 Accepting new patients
Marlan Hansen MD LLC PastSince Apr 1, 2016 Accepting new patients

Locations

1159 E 200 N
Ste 150
American Fork, UT 84003
Phone (801) 763-0652

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

538 S 500 E
American Fork, UT 84003
Phone (559) 320-5106

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

10968 N Alpine Hwy
Highland, UT 84003
Phone (801) 763-2900

3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

36 S State St
Ste 950
Salt Lake City, UT 84111
Phone (801) 442-1466

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1184634511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-855-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E 200 N",
            "address_2": "SUITE 150",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032022",
            "telephone_number": "801-855-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MARLAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "327162-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.