Active NPI
Michael W Hanson, MD
- Anesthesiology Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 27748
- Practice address
- 916 Indiana Ave Ste 120
Pueblo, CO 81004-3572 - Phone
- (719) 296-5841
- Fax
- (719) 542-0746
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 27748 | CO | Primary |
Addresses
Primary practice location
916 Indiana Ave Ste 120
Pueblo, CO 81004-3572
Mailing address
PO Box 570
Pueblo, CO 81002-0570
Phone (719) 296-5840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050051083 | Other | RR MEDICARE | |
| PH18408 | Other | BCBS | |
| CH6461 | Other | RR MEDICARE - GROUP | |
| 01277482 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at Houston, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 557-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27748 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
| Physician Anesthesia of Pueblo, PC | Anesthesiology | Current | Accepting new patients |
| C. Glen Ferguson D.O. P.C. | Anesthesiology | Past | Accepting new patients |
Locations
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
3676 Parker Blvd
Pueblo, CO 81008
Phone (719) 253-7000
3902 Sandalwood Ln
Unit 120
Pueblo, CO 81005
Phone (719) 296-5841
916 Indiana Ave
Ste 120
Pueblo, CO 81004
Phone (719) 296-5841
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
Interoperability endpoints
- https://fhir.healthtogo.me/fhir/r4/criterions.phyanesthesia
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
-
- Anesthesiology Physician
- Pueblo, CO
- NPI 1770631202
-
- Anesthesiology Physician
- Pueblo, CO
- NPI 1710105333
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary-Corwin Hospital
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
dba St. Mary-Corwin Wound Care Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
dba Centura Health - St. Mary Corwin Hospital
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1437166923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810020570",
"telephone_number": "719-296-5840",
"fax_number": "719-542-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 INDIANA AVE STE 120",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043572",
"telephone_number": "719-296-5841",
"fax_number": "719-542-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "27748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050051083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "PH18408",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE - GROUP",
"identifier": "CH6461",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01277482",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.