Individual provider Active NPI

Leon W Hansen, M.D.

  • Obstetrics & Gynecology Physician
  • Sandy, UT
National Provider Identifier
1841250602
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
171574-1205 Issued in UT
Practice address
9600 S 1300 E
Suite 300
Sandy, UT 84094-3766
Phone
(801) 571-7777
Fax
(801) 523-1848
NPI assigned
Mar 24, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 171574-1205 UT Primary

Addresses

Primary practice location

9600 S 1300 E
Suite 300
Sandy, UT 84094-3766

Mailing address

9600 S 1300 E
Suite 300
Sandy, UT 84094-3766
Phone (801) 571-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171574-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leon W. Hansen, MD PC PastSince Jan 1, 1989 Accepting new patients
Alicia Jones, MD PC Past Accepting new patients
Russell a Smith, MD PC PastSince Aug 1, 2001 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1841250602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 S 1300 E",
            "address_2": "SUITE 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943766",
            "telephone_number": "801-571-7777",
            "fax_number": "801-523-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 S 1300 E",
            "address_2": "SUITE 300",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943766",
            "telephone_number": "801-571-7777",
            "fax_number": "801-523-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LEON",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "171574-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.