Active NPI
Timothy E. Hansen, D.O., P.a.
- Interventional Pain Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A-964-99
- Legal business name
- TIMOTHY E. HANSEN, D.O., P.A.
- Practice address
- 3860 Masthead St NE
Albuquerque, NM 87109-4479 - Phone
- (505) 828-1010
- Fax
- (505) 796-9051
- NPI assigned
- May 4, 2011
- Last updated
- Jul 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy E Hansen, D.O.
- Title
- Director
- Phone
- (505) 828-1010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | A-964-99 | NM | Primary |
Addresses
Primary practice location
3860 Masthead St NE
Albuquerque, NM 87109-4479
Mailing address
3860 Masthead St NE
Albuquerque, NM 87109-4479
Phone (505) 828-1010
National Provider Directory
National Provider DirectoryLocations
3860 Masthead St NE
Albuquerque, NM 87109
Phone (505) 796-9047
4700 Jefferson St NE
Ste 700
Albuquerque, NM 87109
Phone (505) 881-5080
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.
-
- Pain Medicine Physician
- Albuquerque, NM
- NPI 1427092592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311033600000",
"number": "1326330739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "505-828-1010",
"fax_number": "505-796-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 MASTHEAD ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094479",
"telephone_number": "505-828-1010",
"fax_number": "505-796-9051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY E. HANSEN, D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-04",
"last_updated": "2011-07-19",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "505-828-1010",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NM",
"license": "A-964-99",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.