Individual provider Active NPI

Arthur Hansen, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Palm Beach, FL
National Provider Identifier
1891753307
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0002288 Issued in FL
Practice address
2326 S Congress Ave
Suite 1-a
West Palm Beach, FL 33406-7617
Phone
(561) 433-5577
Fax
(561) 275-2696
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO0002288 FL Primary

Addresses

Primary practice location

2326 S Congress Ave
Suite 1-a
West Palm Beach, FL 33406-7617

Mailing address

2326 S Congress Ave
Suite 1-a
West Palm Beach, FL 33406-7617
Phone (561) 433-5577

Other identifiers 2

IdentifierTypeStateIssuer
930129700MedicaidFL
390129702MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071001000178 FL Practitioner - PodiatryPractitioner - Internal Medicine 2264527662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0002288FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
La Medical Associates, LLC Foot & Ankle Surgery CurrentSince Nov 13, 2000 Accepting new patients
Your Good Health Medical Group PA PastSince Feb 1, 2006 Accepting new patients
Pinnacle Medical Group Hicks PC PastSince Jan 1, 2021 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 205
Boynton Beach, FL 33437
Phone (561) 277-5394

13005 State Road 80
Ste 111
Loxahatchee, FL 33470
Phone (561) 798-2002

11000 Prosperity Farms Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 622-4646

3347 S State Road 7
Ste 204
Wellington, FL 33449

925 S State Road 7
Wellington, FL 33414

5405 Okeechobee Blvd
Ste 100
West Palm Beach, FL 33417
Phone (561) 420-8492

2326 S Congress Ave
Ste 1A
West Palm Beach, FL 33406
Phone (561) 271-3024

Interoperability endpoints

  • Direct secure messaging: arthur.hansen.1@28764.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1891753307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 S CONGRESS AVE",
            "address_2": "SUITE 1-A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067617",
            "telephone_number": "561-433-5577",
            "fax_number": "561-275-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 S CONGRESS AVE",
            "address_2": "SUITE 1-A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067617",
            "telephone_number": "561-433-5577",
            "fax_number": "561-275-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930129700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390129702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.