Organization Active NPI

Stephen M Hansen MD PC

  • Specialist
  • St George, UT
National Provider Identifier
1205072923
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7102972-1205 Issued in UT
Legal business name
STEPHEN M HANSEN MD PC
Practice address
619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853
Phone
(435) 656-0234
Fax
(435) 656-2622
NPI assigned
Dec 30, 2008
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Stephen M Hansen, MD
Title
Owner
Phone
(435) 656-0234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 7102972-1205 UT Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 7102972-8905 UT

Addresses

Primary practice location

619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853

Mailing address

619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853
Phone (435) 656-0234

Other names 1

  • Stephen M Hansen MD PC Other name

National Provider Directory

National Provider Directory

Locations

1490 E Foremaster Dr
Ste 220
St George, UT 84790
Phone (435) 216-7000

619 S Bluff St
#1
St George, UT 84770
Phone (435) 656-0234

619 S Bluff St
Ste 400
St George, UT 84770
Phone (435) 656-0234

619 S Bluff St
Ste 100
St George, UT 84770
Phone (435) 656-0234

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1205072923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S BLUFF ST",
            "address_2": "TOWER 1 SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703853",
            "telephone_number": "435-656-0234",
            "fax_number": "435-656-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S BLUFF ST",
            "address_2": "TOWER 1 SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703853",
            "telephone_number": "435-656-0234",
            "fax_number": "435-656-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M HANSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-656-0234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "7102972-1205",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "7102972-8905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen M Hansen MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.