Marlan Hansen MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

327162-1205 Issued in UT

Legal business name

MARLAN HANSEN MD LLC

Practice address

538 S 500 E
American Fork, UT 84003-2676

Phone

(801) 642-2000

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Kailee Gores

Title

Provider Relations

Phone

(801) 352-9500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlan L Hansen, MD

  • Hospitalist Physician
  • American Fork, UT
  • NPI 1184634511
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1790149219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 S 500 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032676",
            "telephone_number": "801-642-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLAN HANSEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "GORES",
        "authorized_official_first_name": "KAILEE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "801-352-9500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "327162-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Mann
• Ludmil K Manov, MD
• Abygail Marble
• Mark Henry Radandt
• Mark T Saunders MD LC
• Amber Dawn Martin, CSFA/CST
• Stacy Ann Martin, MD
• Minerva Esmeralda Martinez-Lopez
• Holly Martinez
• Maria Myers Martinez, NP

• All providers in American Fork, UT
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.