Organization Active NPI

James D Hanson M D PS Inc

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1194986539
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD00012843 Issued in WA
Legal business name
JAMES D HANSON M D PS INC
Practice address
3207 NE 125TH St
Seattle, WA 98125-4516
Phone
(206) 362-8000
Fax
(206) 362-8002
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. James D. Hanson, M.D.
Title
President
Phone
(206) 362-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD00012843 WA Primary

Addresses

Primary practice location

3207 NE 125TH St
Seattle, WA 98125-4516

Mailing address

3207 NE 125TH St
Seattle, WA 98125-4516
Phone (206) 362-8000

Other identifiers 1

IdentifierTypeStateIssuer
1349208MedicaidWA

National Provider Directory

National Provider Directory

Locations

3207 NE 125th St
Seattle, WA 98125
Phone (206) 362-8000

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1194986539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 NE 125TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254516",
            "telephone_number": "206-362-8000",
            "fax_number": "206-362-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 NE 125TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254516",
            "telephone_number": "206-362-8000",
            "fax_number": "206-362-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D HANSON M D PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-362-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "MD00012843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349208",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.