Individual provider Active NPI

Ewa M Hansen, MD

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1235132275
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35045807 Issued in OH
Practice address
3740 W Sylvania Ave
Ste 250
Toledo, OH 43623-4493
Phone
(419) 473-6670
Fax
(419) 473-9959
NPI assigned
May 23, 2005
Last updated
Feb 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35045807 OH Primary
Pediatrics Physician 208000000X 4301061029 MI

Addresses

Primary practice location

3740 W Sylvania Ave
Ste 250
Toledo, OH 43623-4493

Mailing address

3740 W Sylvania Ave
Ste 250
Toledo, OH 43623-4493
Phone (419) 473-6670

Other identifiers 2

IdentifierTypeStateIssuer
103136049MedicaidMI
0760823MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301061029MIMDPediatrics Physician
35045807OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Center, Inc. Pediatrics Current Accepting new patients

Locations

3740 W Sylvania Ave
Ste 250
Toledo, OH 43623
Phone (419) 473-6670

Organizations & group practices 1

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1235132275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "STE 250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234493",
            "telephone_number": "419-473-6670",
            "fax_number": "419-473-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "STE 250",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234493",
            "telephone_number": "419-473-6670",
            "fax_number": "419-473-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "EWA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35045807",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301061029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103136049",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.