Raymond D Hansen, III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80711 Issued in FL

Practice address

1972 Bayshore Blvd
Dunedin, FL 34698-2577

Phone

(727) 736-2513

Fax

(727) 734-4701

NPI assigned

Jul 18, 2006

Last updated

Jul 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Northeastern Ohio University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raymond D Hansen MD PAGroup PAC ID 5294872941, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
• Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
• Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/90c1c564-ec35-4c40-b3c5-6cbeb6d0ad79/

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.

• Raymond D.Hansen M D P.a

  • Legal Medicine
  • Dunedin, FL
  • NPI 1265620520
  Medicare reassignment Care Compare group NPD

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

• Baycare Home Care, Inc.

  • Home Health Agency
  • Dunedin, FL
  • NPI 1972501252
  Care Compare affiliation
• Eh Home Health of the Southeast, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Clearwater, FL
  • NPI 1134535545
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  dba Morton Plant Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth North Pinellas

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Countryside Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Dunedin Hospital

  • General Acute Care Hospital
  • Dunedin, FL
  • NPI 1336125640
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1972522522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 BAYSHORE BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982577",
            "telephone_number": "727-736-2513",
            "fax_number": "727-734-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 BAYSHORE BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982577",
            "telephone_number": "727-736-2513",
            "fax_number": "727-734-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN, III",
        "first_name": "RAYMOND",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "80711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052445000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Hammerstrom, MS, ATC-L
• Kendra Hammond, BCBA
• Hands Inc
• Diana Marie Haninger, DO
• Richard Hanley
• Raymond D Hansen Jr., M.D.
• Raymond Daniel Hansen IV, PA-C
• Maura Lynn Harris, MS, CCC-SLP
• Shaniya Chartise Harris
• Theron D Hawkins, PAC

• Internal Medicine Physician in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.