DR. ADAM J HANSEN (NPI# 1134193840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134193840 |
| Entity Type | Individual |
| Full Name | DR. ADAM J HANSEN |
| Credential | M.D. |
| Practice Address |
527 Medical Park Dr Ste 205 Bridgeport WV 26330-9009 |
| Mailing Address |
2673 Davisson Run Rd Ste 303 Clarksburg WV 26301-7640 |
| Practice Telephone | 6813423730 |
| Practice Fax Number | 3048429422 |
| Mailing Telephone | 8005414009 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 28899 | AZ | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25201 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICARE PTAN | WV2677A | 01 |
| AZ | 812976 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1370 Johnson Ave Ste 201, Bridgeport, WV 263301378 | 6813423730 | 3048429422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174182927 | Adam Hansen | Chiropractor | 500 N Highway 377 Ste H, Roanoke, TX 76262-6174 | 2019-06-06 |
| 1891297479 | Adam Hansen | Technician, Other | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2018-02-28 |
| 1538690201 | Adam Hansen | General Practice | 2500 N State St, S-108, Jackson, MS 39216-4500 | 2017-03-24 |
| Street Address |
527 MEDICAL PARK DR STE 205 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931933 | Melissa M Bourgeois | Registered Nurse | 527 Medical Park Dr Ste 205, Bridgeport, WV 26330-9009 | 2020-01-18 |
| 1427346410 | Jimmy Doumit | Internal Medicine | 527 Medical Park Dr Ste 205, Bridgeport, WV 26330 | 2011-07-12 |
| 1902004427 | Retina Specialists Pllc | Ophthalmology | 527 Medical Park Dr Ste 205, Bridgeport, WV 26330-9009 | 2007-07-05 |
| 1225247877 | Tyler J. Prouty | Obstetrics & Gynecology | 527 Medical Park Dr Ste 205, Bridgeport, WV 26330-9009 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750565800 | United Hospital Center, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1370 Johnson Ave, Suite 201, Bridgeport, WV 26330-1492 | 2007-12-26 |
| 1235348145 | Cardiovascular Physicians, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 Main St, Bridgeport, CT 06606-4201 | 2007-05-21 |
| 1003900283 | Saad Mossallati | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2006-10-03 |
| 1093795940 | Daniel M Rose | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 Main Street, Bridgeport, CT 06606 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265713259 | Gilbert Leo Hendricks Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2557 River Road, Shepherdstown, WV 25443-2009 | 2011-09-02 |
| 1053445981 | Greenbrier Vmc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1348 | 2007-03-15 |
| 1629162342 | Jose Cruzzavala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 18th Street, Suite 201, Parkersburg, WV 26101 | 2006-10-03 |
| 1134132418 | Edmundo E. Figueroa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 Morris St Ste 301, Charleston, WV 25301-1853 | 2006-08-15 |
| 1790792398 | Victor Maevsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1021 Mount Dechantal Road, Wheeling, WV 26003-6328 | 2006-08-03 |
| 1639145196 | Ramanathan Sampath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Avenue Se, Suite 904, Charleston, WV 25304 | 2006-02-24 |
| 1669097010 | Jenna Lee Shumar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-06-11 |
| 1528616562 | Seyfi Alper Toker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-09-03 |
| 1497111413 | Wheeling Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1021 Mt Dechantal Road, Wheeling, WV 26003-6328 | 2016-01-06 |
| 1235491176 | Integrated Health Care Providers, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3100 Maccorkle Ave Se, Suite 301, Charleston, WV 25304-1223 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.