MARIJO HANSON (NPI# 1114069358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114069358 |
| Entity Type | Individual |
| Full Name | MARIJO HANSON |
| Other Name | MARIJO DEDEKER |
| Credential | PA |
| Practice Address |
3082 Mcmurray Dr Anderson CA 96007-3544 |
| Practice Telephone | 3053654420 |
| Practice Fax Number | 5303655186 |
| Mailing Telephone | 5303654420 |
| Mailing Fax Number | 5303655186 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16359 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1310 Churn Creek Rd Ste E5, Redding, CA 960034004 | 5307229907 | 5303655186 |
| Street Address |
3082 MCMURRAY DR |
| City | ANDERSON |
| State | CA |
| Zip Code | 96007-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962485839 | Tiffany Lockhart Reguera | Nurse Practitioner | 3082 Mcmurray Dr, Anderson, CA 96007-3544 | 2005-11-23 |
| 1821442492 | Torry Graham | Nurse Practitioner | 3082 Mcmurray Dr, Anderson, CA 96007-3544 | 2016-04-19 |
| 1174715825 | Karen Sue Heustis | Family Medicine | 3082 Mcmurray Dr, Anderson, CA 96007-3544 | 2007-08-16 |
| 1275685414 | Gateway Medical Center Inc | Clinic/Center | 3082 Mcmurray Dr, Anderson, CA 96007 | 2007-01-17 |
| 1245240118 | Jane Karen Simard | Family Medicine | 3082 Mcmurray Dr, Anderson, CA 96007-3544 | 2006-08-09 |
| 1407863913 | Rodney M Swenson | Family Medicine | 3082 Mcmurray Dr, Anderson, CA 96007-3544 | 2006-08-01 |
| 1649239690 | Lisa Ann Henn | Physician Assistant | 3082 Mcmurray Dr, Anderson, CA 96007-3544 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780948497 | Marilee Ruth King | Veterinarian | 3100 W Center St, Anderson, CA 96007 | 2012-06-27 |
| 1881821064 | William Martin Reuss Iv | Dentist | 1930 North Barney St., Anderson, CA 96007 | 2009-06-16 |
| 1063676898 | Adriana Elia Vazquez | Licensed Vocational Nurse | 7175 Eastsidee Rd, Anderson, CA 96007 | 2008-07-10 |
| 1730211103 | Danene Renee Mercill | Dentist | 2817 Childress Rd, Anderson, CA 96007 | 2007-03-12 |
| 1750457388 | Debra Marie Wright | Family Medicine | 2830 East Street, Anderson, CA 96007 | 2006-11-27 |
| 1346315538 | Susan Frances Capella | Occupational Therapist | 3300 Franklin St, Anderson, CA 96007 | 2006-11-22 |
| 1205917127 | Walmart Stores, Inc. | Technician/Technologist | 5000 Rhonda Road, Anderson, CA 96007 | 2006-10-18 |
| 1063527372 | Steven Edward Ahrens | Dentist | 1901 Barney Rd, Anderson, CA 96007 | 2006-08-20 |
| 1255340568 | Paul C Davainis | Family Medicine | 2965 East St, Anderson, CA 96007 | 2006-08-05 |
| 1700137882 | Roberta Ann Samples | Registered Nurse | 2830 East St, Anderson, CA 96007 | 2012-09-28 |
| Find all providers in zip 96007 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492495 | Chloe Miller | Physician Assistant | 1417 S Winding Way, Anderson, IN 46011-3062 | 2020-06-17 |
| 1912536665 | Shivani Patel | Physician Assistant | 4020 Clemson Blvd, Anderson, SC 29621-1106 | 2020-04-05 |
| 1831757053 | Sarah Marie Calaway | Physician Assistant | 8 Justice Ln, Anderson, SC 29621-2354 | 2019-06-03 |
| 1316429111 | Seth Brendle | Physician Assistant | 2809 Woodridge Dr, Anderson, SC 29621-1940 | 2018-08-29 |
| 1285839449 | Ron Frank Poli | Physician Assistant | 2760 N. Balls Ferry Rd., Anderson, CA 96007-3537 | 2007-06-18 |
| 1013931476 | Shasta Community Health Center | Physician Assistant | 16300 Cloverdale Rd, Anderson, CA 96007-8209 | 2006-07-27 |
| 1225054794 | Rita C Raih | Physician Assistant | 520 E 8th St, Anderson, IN 46012-4017 | 2006-07-15 |
| 1306829551 | Melanie A Thorpe | Physician Assistant | 100 Healthy Way Ste 1260, Anderson, SC 29621-7918 | 2005-11-22 |
| 1215570353 | Edward Burnett Wells | Physician Assistant | 100 Healthy Way Ste 1260, Anderson, SC 29621-7918 | 2019-10-22 |
| 1356983878 | Katherine Salter Huff | Physician Assistant | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2019-10-16 |
| Find all providers in ANDERSON | ||||
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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.