Organization Active NPI

Timothy E. Hansen, D.O., P.a.

  • Interventional Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1326330739
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A-964-99 Issued in NM
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

3860 Masthead St NE
Albuquerque, NM 87109
Phone (505) 796-9047

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.

Verify at the official NPI Registry.