Active NPI
Roger S. Hansen, M.D.
- Radiation Oncology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 4745770-1205
- Practice address
- 4401 Harrison Blvd
Ogden, UT 84403-3195 - Phone
- (801) 387-7400
- Fax
- (801) 442-3263
- NPI assigned
- Feb 6, 2007
- Last updated
- Nov 30, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 4745770-1205 | UT | Primary |
Addresses
Primary practice location
4401 Harrison Blvd
Ogden, UT 84403-3195
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 475-6532
Other practice location 1
5475 S 500 E
Ogden, UT 84405-6905
Phone (801) 475-4571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Creighton University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-4655
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4745770-1205 | UT | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Memorial Hospital of Sweetwater County | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000
201 W Layton Pkwy
Ste 2A
Layton, UT 84041
Phone (801) 387-7185
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8383
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba County of Sweetwater
- Critical Access Hospital
- Rock Springs, WY
- NPI 1558361949
-
dba North Ogden Clinic - InstaCare
- Emergency Medicine Physician
- North Ogden, UT
- NPI 1033240460
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health McKay-Dee Hospital
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
dba Intermountain Health Layton Hospital
- General Acute Care Hospital
- Layton, UT
- NPI 1417460205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1811036478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-475-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033195",
"telephone_number": "801-387-7400",
"fax_number": "801-442-3263"
}
],
"practiceLocations": [
{
"address_1": "5475 S 500 E",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844056905",
"country_code": "US",
"telephone_number": "801-475-4571",
"fax_number": "801-475-6119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "ROGER",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "UT",
"license": "4745770-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.