Active NPI
Eric Glen Hansen, ATC
- Specialist
- Emmitsburg, MD
National Provider Identifier
1891996419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 16300 Old Emmitsburg Rd
Emmitsburg, MD 21727-7700 - Phone
- (301) 447-5386
- Fax
- (301) 447-6828
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
16300 Old Emmitsburg Rd
Emmitsburg, MD 21727-7700
Mailing address
12 Old Oak PL
Thurmont, MD 21788-1858
Phone (301) 693-2832
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891996419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OLD OAK PL",
"city": "THURMONT",
"state": "MD",
"postal_code": "217881858",
"telephone_number": "301-693-2832",
"fax_number": "301-447-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16300 OLD EMMITSBURG RD",
"city": "EMMITSBURG",
"state": "MD",
"postal_code": "217277700",
"telephone_number": "301-447-5386",
"fax_number": "301-447-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ERIC",
"middle_name": "GLEN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emmitsburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.