Mette Hansen MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

575311-1205 Issued in UT

Legal business name

METTE HANSEN MD PC

Practice address

1490 E Foremaster Dr
Suite 150
St George, UT 84790-4488

Phone

(435) 628-0966

Fax

(435) 652-9173

NPI assigned

Sep 11, 2007

Last updated

Mar 17, 2010By 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

Mette Hansen, MDNPI 1063445682

Title

President

Phone

(435) 628-0966

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mette Hansen, MD

  • Physical Medicine & Rehabilitation Physician
  • St George, UT
  • NPI 1063445682
  Authorized official Same address or phone

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1245425321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 400 E",
            "address_2": "SUITE 208",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703700",
            "telephone_number": "435-628-0966",
            "fax_number": "435-652-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "SUITE 150",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-0966",
            "fax_number": "435-652-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTE HANSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "METTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-628-0966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "575311-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063445682",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in St George, UT
• Providers in St George, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.