HEATH HANSEN (NPI# 1033398300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033398300 |
Entity Type | Individual |
Full Name | HEATH HANSEN |
Practice Address |
9009b Indianapolis Blvd Highland IN 46322-2502 |
Mailing Address |
12400 S Harlem Ave Palos Heights IL 60463-1440 |
Practice Telephone | 2199230454 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2007-11-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
Y | 225500000X | Specialist/Technologist | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | BLUE CROSS BLUE SHIELD | 01622333 | 01 |
IN | AETNA | 7454077 | 01 |
IL | BLUE CROSS BLUE SHIELD | 01622333 | 01 |
Street Address |
9009B INDIANAPOLIS BLVD |
City | HIGHLAND |
State | IN |
Zip Code | 46322-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063569028 | Wcs Occupational Rehabilitation and Sports Medicine, Inc. | Physical Therapist | 9009b Indianapolis Blvd, Highland, IN 46322-2502 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013431733 | Marielva Banks | Physician Assistant | 10343 Indianapolis Blvd Ste 104, Highland, IN 46322 | 2017-08-03 |
1467806596 | Archangel Home Care Inc | Home Health | 2148 45th Ste 205, Highland, IN 46322 | 2016-04-14 |
1427457886 | Veronica Addison | Community/Behavioral Health | 219 Indianapolis Blvd, Ste B, Highland, IN 46322 | 2014-08-21 |
1750700423 | Persa Darnell | Nurse Practitioner | 3747 45th Ave., Highland, IN 46322 | 2014-04-10 |
1043648207 | Wahbi Adad | Specialist | 8732 Woodward Ave, Highland, IN 46322 | 2013-10-28 |
1619229317 | Cleotis White | Counselor | 2646 Highway Ave Ste 108, Highland, IN 46322 | 2012-10-05 |
1912278904 | Noble Home Health Care LLC | Home Health | 2449 45th St, Suite D, Highland, IN 46322 | 2012-01-23 |
1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
1194998963 | Affordable Hearing Aid Center | Hearing Instrument Specialist | 2148 45th St, Highland, IN 46322 | 2008-04-11 |
1497954390 | Highland Clinic of Northwest Indiana Inc | General Practice | 2834 Highway Ave Ste 1, Highland, IN 46322 | 2007-07-12 |
Find all providers in zip 46322 |
Taxonomy Code | 225500000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063034965 | Joslyn Burke | Specialist/Technologist | 1834 State Road 25 W, Lafayette, IN 47909-9272 | 2020-05-13 |
1578197562 | Logan Flack | Specialist/Technologist | 7710 N County Road 400 E, Frankfort, IN 46041-7939 | 2020-02-27 |
1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
1447660279 | Steven Edward Maschmeyer | Specialist/Technologist | 10291 N Meridian St Ste 170, Indianapolis, IN 46290-1000 | 2014-05-01 |
1780900472 | Brainworx, LLC | Specialist/Technologist | 9767 Fall Creek Rd, Indianapolis, IN 46256-4713 | 2010-04-20 |
1720246572 | Walter J Filipek Md | Specialist/Technologist | 707 N Michigan Street, # 318, South Bend, IN 46601-1070 | 2008-05-29 |
1528033131 | Catherine Marie Fedder | Specialist/Technologist | 115 Woodland Ct, Mishawaka, IN 46545-3348 | 2006-02-18 |
1134497308 | Scott Mclaughlin | Specialist/Technologist | 53880 Carmichael Dr, South Bend, IN 46635 | 2011-12-02 |
1689982613 | Theresa M Dickerson | Specialist/Technologist | 2625 N Meridian St, Indianapolis, IN 46208-7701 | 2010-09-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.