David A. Hansen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ML20007743 Issued in WA

Practice address

5580 Nordic PL
Ferndale, WA 98248-9138

Phone

(360) 384-1511

Fax

(360) 384-5758

NPI assigned

May 18, 2006

Last updated

Aug 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Care Network PLLC

  dba FCN Draw Station - Ferndale

  • Clinical Medical Laboratory
  • Ferndale, WA
  • NPI 1215655089
  NPD (past)
• Hansen MHT LLC

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1093268542
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1316990740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W ORCHARD DR",
            "address_2": "SUITE 4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251766",
            "telephone_number": "360-318-8800",
            "fax_number": "360-318-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 NORDIC PL",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489138",
            "telephone_number": "360-384-1511",
            "fax_number": "360-384-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20007743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3976HA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "423898050",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00476409",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES (CV)",
            "identifier": "8941952",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8456972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sierra Greathouse, RDH
• Leona M Groesbeck
• Constance Rae Guy
• Haggen, Inc (Haggen Food & Pharmacy, TOP Food & Drug)
• Hansen Chiropractic, P.S. (Natural Way Chiropractic of Ferndale)
• Satori Hanson
• Marc Thomas Harrington, DPT, PT
• Susan Candice Harrison, AC60279069
• Charles William Haubrich, DDS
• Joey Shanley Hawkinson, M.A., SLP

• Family Medicine Physician in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.