Active NPI
Timothy E. Hansen, D.O., P.a.
- Interventional Pain Medicine Physician
- Albuquerque, NM
National Provider Identifier
1326330739
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
- 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
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
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.