Active NPI
Craig Eugene Hanson, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Hicksville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 01053849A
- Practice address
- 208 Columbus St
Hicksville, OH 43526-1250 - Phone
- (419) 542-6692
- Fax
- (419) 542-6685
- NPI assigned
- Jan 31, 2007
- Last updated
- Aug 25, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301057977 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 35068533 | OH | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 01053849A | IN | Primary |
Addresses
Primary practice location
208 Columbus St
Hicksville, OH 43526-1250
Mailing address
1274 Madison Blvd
Van Wert, OH 45891-2554
Other practice location 1
140 Fox Rd Ste 201
Van Wert, OH 45891-2492
Phone (419) 238-3047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161720 | Medicaid | OH | |
| 200841050 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Human Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1032 W Wayne St
Paulding, OH 45879-1545
Phone (419) 399-1104
2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 434-6076
393 E Town St
Columbus, OH 43215-4799
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.61 of 100
- Quality
- 76.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057977 | MI | MD | Obstetrics & Gynecology Physician |
| 35068533 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Paulding County Hospital Physician Services | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Paulding County Hospital | Past | Accepting new patients |
Locations
1100 Mercer Ave
Decatur, IN 46733
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692
1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
140 Fox Rd
Ste 201
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 7
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.
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
Obstetrics & Gynecology
-
dba PCH Physician Services
- Family Medicine Physician
- Paulding, OH
- NPI 1891744843
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Critical Access Hospital
- Paulding, OH
- NPI 1144298514
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Paulding, OH
- NPI 1144298514
-
dba Van Wert Health
- General Acute Care Hospital
- Van Wert, OH
- NPI 1942267760
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1578600565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 MADISON BLVD",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLUMBUS ST",
"city": "HICKSVILLE",
"state": "OH",
"postal_code": "435261250",
"telephone_number": "419-542-6692",
"fax_number": "419-542-6685"
}
],
"practiceLocations": [
{
"address_1": "140 Fox Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Van Wert",
"state": "OH",
"postal_code": "458912492",
"country_code": "US",
"telephone_number": "419-238-3047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSON",
"first_name": "CRAIG",
"middle_name": "EUGENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301057977",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35068533",
"primary": false
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "IN",
"license": "01053849A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161720",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200841050",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, OH
- Matt Walter Grant
- Matthew C Grothaus, M.D.
- Ashley Guilford, R.D.
- Johnathan Robert Haggerty, D.C.
- Cory T Hammond, PA
- Hickory Creek Healthcare Foundation, Inc. (Hickory Creek at Hicksville)
- Hicksville Exempted Village Schools
- Hicksville Family Eye Care LLC
- Hicksville Pharmacy & Home Medical Inc (Hicksville Pharmacy)
- Andrew David Hoffman, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.