Individual provider Active NPI

Glen D Hanson, MD

  • Emergency Medicine Physician
  • Greenfield, IA
National Provider Identifier
1710947130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22294 Issued in IA
Practice address
210 NW 6TH St
Greenfield, IA 50849-9544
Phone
(641) 743-2517
NPI assigned
Mar 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22294 IA Primary

Addresses

Primary practice location

210 NW 6TH St
Greenfield, IA 50849-9544

Mailing address

210 NW 6TH St
Greenfield, IA 50849-9544
Phone (641) 743-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20041220000723 IA Practitioner - Family PracticePractitioner - Emergency Medicine 2163480351 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin General HospitalGroup PAC ID 5799693925, 24 clinicians

Practice addresses (Care Compare)

1720 Central Ave E
Hampton, IA 50441-1869
Phone (641) 456-5000

1720 Central E Ave
Hampton, IA 50441-1869

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22294IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Current Accepting new patients
Floyd County Memorial Hospital Commission Emergency Medicine CurrentSince Aug 6, 2011 Accepting new patients
Franklin General Hospital CurrentSince Oct 23, 2024 Accepting new patients
Floyd County Memorial Hospital Commission CurrentSince Aug 6, 2011 Accepting new patients
Adair County Memorial Hospital Current Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Feb 1, 2017 Accepting new patients
St Anthony Regional Hospital and Nursing Home Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

Interoperability endpoints

  • Direct secure messaging: glenhanson@adaircountyhealth.cernerdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710947130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NW 6TH ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499544",
            "telephone_number": "641-743-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NW 6TH ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499544",
            "telephone_number": "641-743-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "GLEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "22294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IA

Sources for this page

Verify at the official NPI Registry.