NPIMap

Organization Active NPI

Mid America Neurospine LLC

  • Specialist
  • Overland Park, KS
National Provider Identifier
1962661736
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-16128 Issued in KS
Legal business name
MID AMERICA NEUROSPINE LLC
Practice address
5701 W 119TH St
Suite 331
Overland Park, KS 66209-3721
Phone
(913) 851-2919
NPI assigned
Jun 5, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Ernest Jerome Hanson, M.D.
Title
Owner/Physician
Phone
(913) 851-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 04-16128 KS Primary

Addresses

Primary practice location

5701 W 119TH St
Suite 331
Overland Park, KS 66209-3721

Mailing address

15438 Iron Horse Cir
Leawood, KS 66224-3852
Phone (913) 851-2919

Other identifiers 4

IdentifierTypeStateIssuer
P163279OtherKSMEDICARE INDIVIDUAL P163279
060060027OtherMEDICARE RAILROAD #
02119079OtherBCBS
27321011OtherGROUP BCBS#

Other names 1

  • E Jerome Hanson MD Other name

National Provider Directory

National Provider Directory

Locations

7950 College Blvd
Ste A
Overland Park, KS 66210
Phone (913) 491-3344

100 Westwoods Dr
Liberty, MO 64068
Phone (816) 781-3371

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1962661736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15438 IRON HORSE CIR",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243852",
            "telephone_number": "913-851-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 331",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-851-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA NEUROSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "913-851-2919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-16128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL P163279",
            "identifier": "P163279",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "060060027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02119079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS#",
            "identifier": "27321011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Jerome Hanson MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.