Organization Active NPI

Ryan Hanson Au.D., P.C.

  • Audiologist
  • Price, UT
National Provider Identifier
1467687830
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
62658454101 Issued in UT
Legal business name
RYAN HANSON AU.D., P.C.
Practice address
945 W Hospital Dr Ste 1
Price, UT 84501-4230
Phone
(435) 637-4327
Fax
(435) 613-9709
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Ryan Mark Hanson, AU.D.NPI 1841415734
Title
Owner
Phone
(435) 637-3427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 62658454101 UT Primary

Addresses

Primary practice location

945 W Hospital Dr Ste 1
Price, UT 84501-4230

Mailing address

945 W Hospital Dr Ste 1
Price, UT 84501-4230
Phone (435) 637-4327

Other identifiers 1

IdentifierTypeStateIssuer
52998595001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090603000119 UT Part B Supplier - Clinic/Group Practice 0840340402 Receives reassigned benefits from 1 practitioner
Practice locations: Price, UT

National Provider Directory

National Provider Directory

Locations

945 W Hospital Dr
Ste 1
Price, UT 84501
Phone (435) 637-4327

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.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1467687830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W HOSPITAL DR STE 1",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014230",
            "telephone_number": "435-637-4327",
            "fax_number": "435-613-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W HOSPITAL DR STE 1",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014230",
            "telephone_number": "435-637-4327",
            "fax_number": "435-613-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN HANSON AU.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-637-3427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "62658454101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52998595001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.