Gary a Hanson MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

12678 Issued in WV

Legal business name

GARY A HANSON MD INC

Practice address

2619 Pennsylvania Ave
Suite 2
Weirton, WV 26062-3752

Phone

(304) 723-0200

Fax

(304) 723-0210

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary A Hanson, MD

Title

President

Phone

(304) 723-0200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1619038213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 PENNSYLVANIA AVE",
            "address_2": "SUITE 2",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623752",
            "telephone_number": "304-723-0200",
            "fax_number": "304-723-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 PENNSYLVANIA AVE",
            "address_2": "SUITE 2",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623752",
            "telephone_number": "304-723-0200",
            "fax_number": "304-723-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A HANSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-723-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "12678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071764000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Gagliardo, DIETICIAN
• Renee Nicole Galterio, PA-C
• John Garan Jr.
• Joseph John Garan, PHARMD
• Mark Thomas Garan, AGACNP-BC
• Divya Reddy Gavini, MD
• George M. Roig MD Inc
• Rachael M George Odutayo, NP
• George Gerbo III
• Melanie Renee Gerrard

• Specialist in Weirton, WV
• Providers in Weirton, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.