Eric L Hanson, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

MD26393 Issued in OR

Practice address

301 NE Knott St
Portland, OR 97212-3014

Phone

(503) 253-3910

Fax

(503) 253-4297

NPI assigned

Mar 17, 2006

Sex

Male

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 OR

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

Tufts University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knott Street Dermatology PCGroup PAC ID 8325050859, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.78 of 100Reported as group

Quality

77.59

Promoting interoperability

100

Improvement activities

40

Cost

85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.hanson@ksd.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EFJBAA

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.

• Knott Street Dermatology PC

  • Specialist
  • Portland, OR
  • NPI 1891741864
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1740259035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123014",
            "telephone_number": "503-253-3910",
            "fax_number": "503-253-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123014",
            "telephone_number": "503-253-3910",
            "fax_number": "503-253-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OR",
            "license": "MD26393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jean Hanson
• Brenda Hanson, PTA
• Brianna Rider Hanson, PA-C
• Calvin Hanson
• Charlie Hanson
• Gregg Eugene Hanson, CADC II
• Helene Hanson, MSW
• Holly Hanson
• Kat Robert Hanson, LMT
• Kathleen McCabe Hanson, MSW, LCSW

• Procedural Dermatology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Procedural Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.