Active NPI
Vincent L Hansen, MD
- Hematology & Oncology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 1556821205
- Practice address
- 4403 Harrison Blvd
#1685
Ogden, UT 84403-3271 - Phone
- (801) 387-7150
- Fax
- (801) 387-7155
- NPI assigned
- Dec 22, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 1556821205 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd
#1685
Ogden, UT 84403-3271
Mailing address
4403 Harrison Blvd
#1685
Ogden, UT 84403-3271
Phone (801) 387-7150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04781 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vincent.hansen1@direct.imail.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1556821205 | UT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185
4403 Harrison Blvd
Ste 1685
Ogden, UT 84403
Phone (801) 387-7165
4403 Harrison Blvd
Ste 2855
Ogden, UT 84403
Phone (801) 387-2550
4403 Harrison Blvd
Ogden, UT 84403
Phone (801) 387-2800
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1528044385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD",
"address_2": "#1685",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033271",
"telephone_number": "801-387-7150",
"fax_number": "801-387-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD",
"address_2": "#1685",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033271",
"telephone_number": "801-387-7150",
"fax_number": "801-387-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "VINCENT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "UT",
"license": "1556821205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04781",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vincent.hansen1@direct.imail.org",
"affiliation": "N",
"address_1": "4403 Harrison Blvd",
"address_2": "#1685",
"city": "Ogden",
"state": "UT",
"country_code": "US",
"postal_code": "844033271",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.