Individual provider Active NPI

Greta Elizabeth Hanson, MD

  • Obstetrics & Gynecology Physician
  • Burlington, VT
National Provider Identifier
1487872925
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0420011559 Issued in VT
Practice address
96 Colchester Ave
Affiliates in OB/GYN
Burlington, VT 05401-1417
Phone
(802) 655-0505
NPI assigned
Apr 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0420011559 VT Primary

Addresses

Primary practice location

96 Colchester Ave
Affiliates in OB/GYN
Burlington, VT 05401-1417

Mailing address

15 Hawthorne Cir
South Burlington, VT 05403-8224
Phone (802) 660-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080813000147 VT Practitioner - Obstetrics/Gynecology 2860567740
I20191114003176 MA Practitioner - Obstetrics/Gynecology 2860567740 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420011559VTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Massachusetts PC Obstetrics & Gynecology CurrentSince Oct 12, 2019 Accepting new patients
Andover Obstetrics and Gynecological Associates, PC CurrentSince Sep 29, 2019 Accepting new patients
Michael J Grossman MD PC Obstetrics & Gynecology CurrentSince Nov 9, 2019 Accepting new patients
Lawrence General Hospital Past Accepting new patients

Locations

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

565 Turnpike St
North Andover, MA 01845
Phone (978) 681-1212

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Massachusetts PC 7 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone (864) 908-3530

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1487872925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAWTHORNE CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054038224",
            "telephone_number": "802-660-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 COLCHESTER AVE",
            "address_2": "AFFILIATES IN OB/GYN",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011417",
            "telephone_number": "802-655-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "GRETA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "0420011559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.