Miriam L Hanson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M6174 Issued in TX

Practice address

12319 N Mopac Expy
BLDG. C, Ste. 100
Austin, TX 78758-2403

Phone

(512) 837-3376

Fax

(512) 837-3377

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Dermatology

Education

Baylor College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westlake Dermatology PA

  • Dermatology Physician
  • Austin, TX
  • NPI 1518939347
  Medicare reassignment Care Compare group NPD
• Westlake Dermatology, PA

  • Dermatology Physician
  • Alamo Heights, TX
  • NPI 1265086045
  NPD
• Suzanne Bruce and Associates, P.a.

  • Dermatology Physician
  • Houston, TX
  • NPI 1598895831
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1619047339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "BLDG. C, STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582403",
            "telephone_number": "512-837-3376",
            "fax_number": "512-837-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 N MOPAC EXPY",
            "address_2": "BLDG. C, STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582403",
            "telephone_number": "512-837-3376",
            "fax_number": "512-837-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "MIRIAM",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanson Medical Supplies
• Alison Hanson, MD, PHD
• Amanda Hanson
• Carter Reid Hanson, PA-C
• Gregory James Hanson Jr., M.D.
• Esha Hansoti, MD
• Rachel D Hanss, LCSW
• Lisa Michelle Hanusch, PHD
• Keeli Ann Hanzelka, MD
• Marighney Hanzo

• Dermatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.

Verify at the official NPI Registry.