Individual provider Active NPI

Donald C Hansen, M.D.

  • Emergency Medicine Physician
  • Mesquite, NV
National Provider Identifier
1902845712
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11882 Issued in NV
Practice address
1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Phone
(702) 345-4270
NPI assigned
Jun 6, 2006
Last updated
Jan 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11882 NV Primary

Addresses

Primary practice location

1299 Bertha Howe Ave
Mesquite, NV 89027-7500

Mailing address

1235 W Red Butte
Washington, UT 84780-8485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TN, UT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060810000317 NV Practitioner - Emergency Medicine 1456394287 Reassigns benefits to 2 organizations
I20120926000042 TN Practitioner - Emergency Medicine 1456394287 Reassigns benefits to 2 organizations
I20160321001094 UT Practitioner - Emergency Medicine 1456394287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone (775) 635-2550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12635TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Feb 7, 2016 Accepting new patients
Battle Mountain General Hospital CurrentSince Jun 30, 2012 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 7, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 24, 2014 Accepting new patients
Battle Mountain General Hospital CurrentSince Jun 30, 2012 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 25, 2012 Accepting new patients
Battle Mountain General Hospital Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Emergency Medicine CurrentSince Feb 6, 2019 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Jellico Emergency Physicians Medical Group PC Emergency Medicine Past Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Twin Valley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers Inc Emergency Medicine Past Accepting new patients

Locations

535 S Humboldt St
Battle Mtn, NV 89820
Phone (775) 635-2424

401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151

188 Hospital Ln
Jellico, TN 37762
Phone (423) 784-1272

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • Direct secure messaging: donald.hansen.1@18353.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1902845712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W RED BUTTE",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BERTHA HOWE AVE",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277500",
            "telephone_number": "702-345-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "11882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.