Reid Hansen, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

REID HANSEN, M.D.

Practice address

900 Main St
Suite 500
Peoria, IL 61602-1005

Phone

(309) 637-3500

NPI assigned

Mar 21, 2008

Organization subpart

No

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

Authorized official

Name

Reid Herman Hansen, M.D.NPI 1861490260

Title

Owner

Phone

(309) 637-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reid H. Hansen, M.D.

  • Surgery Physician
  • Peoria, IL
  • NPI 1861490260
  NPD (past) Authorized official

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1184895765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 500",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-637-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "address_2": "SUITE 500",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021005",
            "telephone_number": "309-637-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID HANSEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-637-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Reeves, APN,CNS
• Theresa M. Regan, PH.D.
• Regina Bridges Counseling PLLC
• Regniers Hearing Aid Service Inc (Audibel)
• Nadia Quratulann Rehman, MD
• Churphena Reid, M.D.
• Melissa Kay Reid, BCBA
• Turner Graham Reid, DDS
• Walter Scott Reid, DO
• Lance A Reiman, PT

• Plastic and Reconstructive Surgery Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.