Active NPI
Sandra Lea Hanson
- Surgery Physician
- Hibbing, MN
National Provider Identifier
1619967775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24573
- Practice address
- 3605 Mayfair Ave
Hibbing, MN 55746-2935 - Phone
- (218) 262-3441
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24573 | MN | Primary |
Addresses
Primary practice location
3605 Mayfair Ave
Hibbing, MN 55746-2935
Mailing address
3605 Mayfair Ave
Hibbing, MN 55746-2935
Phone (218) 262-3441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24573 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Health System | Past | Accepting new patients | |
| Sandra L Hanson MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Medford, OR
- NPI 1366463440
-
- Community/Retail Pharmacy
- Pillager, MN
- NPI 1396519906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1619967775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 MAYFAIR AVE",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462935",
"telephone_number": "218-262-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 MAYFAIR AVE",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462935",
"telephone_number": "218-262-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "SANDRA",
"middle_name": "LEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "24573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.