Mildred S Hanson MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

320 Issued in MN

Legal business name

MILDRED S HANSON MD PA

Practice address

710 E 24TH St Ste 403
Minneapolis, MN 55404-3827

Phone

(612) 870-1334

Fax

(612) 871-0864

NPI assigned

Jul 10, 2007

Last updated

Sep 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marilee A Hanson, MD

Title

Owner

Phone

(612) 870-1334

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlin Wha Ran Anderson, C.N.M.

  • Advanced Practice Midwife
  • Bloomington, MN
  • NPI 1376973958
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1184822330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST",
            "address_2": "STE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55404",
            "telephone_number": "612-870-1334",
            "fax_number": "612-871-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST STE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043827",
            "telephone_number": "612-870-1334",
            "fax_number": "612-871-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED S HANSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MARILEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-870-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "3118",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING GROUP NU",
            "identifier": "C03252",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225968100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "06521HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gerard Mikkelson, PTA
• Nancy Jean Mikulski, MSW, LICSW
• Crystal Milan
• Krista Milan
• Gregory Michael Milbrath, MA, LPCC
• Nicole Milender, RN
• Justin John Miles, MD
• Kenneth Miles
• Lisa Ann Miles, CNP
• Steven Haverstock Miles, MD

• Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.