Individual provider Active NPI

Donald Hansen, M.D.

  • Emergency Medicine Physician
  • Weymouth, MA
National Provider Identifier
1760441422
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
50584 Issued in MA
Practice address
330 Washington Street
Weymouth, MA 02188
Phone
(781) 626-5160
Fax
(781) 803-2645
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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 50584 MA Primary

Addresses

Primary practice location

330 Washington Street
Weymouth, MA 02188

Mailing address

330 Washington Street
Weymouth, MA 02188
Phone (781) 626-5160

Other identifiers 1

IdentifierTypeStateIssuer
3067769MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050329000712 MA Practitioner - Emergency Medicine 1759379977 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
South Shore Health Express, Inc Current Accepting new patients
South Shore Health Express, Inc CurrentSince Sep 1, 2018 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

59 Long Pond Rd
Plymouth, MA 02360
Phone (781) 626-5180

119 Parkingway
Quincy, MA 02169
Phone (781) 626-5160

330 Washington St
Weymouth, MA 02188
Phone (781) 248-8962

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1760441422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON STREET",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188",
            "telephone_number": "781-626-5160",
            "fax_number": "781-803-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON STREET",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02188",
            "telephone_number": "781-626-5160",
            "fax_number": "781-803-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "50584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067769",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.