Organization Active NPI

Lee C Hanson, M.D. LLC

  • Internal Medicine Physician
  • Des Peres, MO
National Provider Identifier
1831337518
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001010350 Issued in MO
Legal business name
LEE C HANSON, M.D. LLC
Practice address
2440 Camberwell CT
Des Peres, MO 63131-2118
Phone
(636) 207-0537
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Lee C Hanson, M.D.
Title
President
Phone
(636) 207-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2001010350 MO Primary

Addresses

Primary practice location

2440 Camberwell CT
Des Peres, MO 63131-2118

Mailing address

PO Box 504839
Saint Louis, MO 63150-0001
Phone (636) 207-0537

National Provider Directory

National Provider Directory

Locations

1050 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1831337518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504839",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "636-207-0537",
            "fax_number": "636-207-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 CAMBERWELL CT",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631312118",
            "telephone_number": "636-207-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE C HANSON, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-207-0537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001010350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.