IVY A. HANSEN


Address: 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042
Phone: 2085220747

IVY A. HANSEN (NPI# 1164755104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164755104
Entity Type Individual
Full Name IVY A. HANSEN
Credential P.A.-C.
Practice Address 2065 E 17th St
Suite D
Idaho Falls
ID 83404-8042
Practice Telephone 2085220747
Practice Fax Number 2085229641
Mailing Telephone 2085220747
Mailing Fax Number 2085229641
Enumeration Date 2009-09-09
Last Update Date 2009-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA-814 ID Physician Assistants & Advanced Practice Nursing Providers

Other Providers IVY HANSEN

NPI Name Taxonomy Address Enumeration
1366720377 Ivy Lynne Hansen Counselor 515 28 3/4 Rd, Grand Junction, CO 81501-5016 2011-07-25

Office Location

Street Address 2065 E 17TH ST
SUITE D
City IDAHO FALLS
State ID
Zip Code 83404-8042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821106089 Daniel K Hinckley Specialist 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 2006-08-28
1366984437 Gene K. Hodges M.d. Family Medicine 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 2016-11-07
1205135456 Laura Coryell Physician Assistant 2065 E 17th St, St # B, Idaho Falls, ID 83404-8042 2011-03-26
1932417607 Julian Debruynkops Md Pa Family Medicine 2065 E 17th St, Suite C, Idaho Falls, ID 83404-8042 2010-09-16
1477700573 Rebecca A. Westergard Physician Assistant 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042 2008-08-20
1659405140 Gene K. Hodges M.d. Family Medicine 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 2007-03-15
1518035336 Daniel K Hinckley Md Pa Specialist 2065 E 17th St, St A, Idaho Falls, ID 83404-8042 2006-12-01
1730257791 Boyd L Hammond Md Pa Surgery 2065 E 17th St, Suite A, Idaho Falls, ID 83404-8042 2006-11-30
1750489100 Mark Lee Capener Otolaryngology 2065 E 17th St, Suite B-2, Idaho Falls, ID 83404-8042 2006-09-20
1306944772 Alpine Ear, Nose & Throat, P.c Otolaryngology 2065 E 17th St, Suite B, Idaho Falls, ID 83404-8042 2006-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750809 Joshua M Murphy Dentist 1580 Elk Creek Dr., Idaho Falls, ID 83404 2020-11-03
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1942863600 Muhammad Arslan Khan Student in an Organized Health Care Education/Training Program 2860 Channing Way Suite 214, Idaho Falls, ID 83404 2019-04-18
1942771043 Physician's Choice Cardiology, Pllc Internal Medicine 3302 Valencia, Suite 201, Idaho Falls, ID 83404 2018-12-16
1609358761 Cardiac Cath Lab of Idaho Falls Internal Medicine 3311 Valencia Drive, Idaho Falls, ID 83404 2018-09-05
1083196380 Hannah Golden Occupational Therapist 1460 Elk Creek, Idaho Falls, ID 83404 2018-09-04
1316423049 Lindsay Sessions Speech-Language Pathologist 2210 Niagara St, Idaho Falls, ID 83404 2018-07-16
1720574023 Bmh, Inc. Anesthesiology 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 2018-07-10
1093237935 Jason Earl Bailey Contractor 3100 S Woodruff Ave., Idaho Falls, ID 83404 2017-07-12
1235682121 Mountain Falls Quick Care Clinic/Center 1995 E 17th St #1, Idaho Falls, ID 83404 2016-07-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386743862 David Dean Buys Physician Assistant 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 2006-09-21
1316910797 Stephanie Morgan Physician Assistant 1660 John Adams Pkwy, Idaho Falls, ID 83401-4360 2006-02-08
1386626463 Wade K Christensen Physician Assistant 1880 John Adams Pkwy, Idaho Falls, ID 83401-4315 2005-11-15
1851396519 Jamie L Carter Physician Assistant 3100 Channing Way, Idaho Falls, ID 83404-7533 2005-06-17
1609492347 Jason T Rinker Physician Assistant 1995 E 17th St, Idaho Falls, ID 83404-6493 2020-06-18
1821645870 Benjamin J Atwood Physician Assistant 3446 S 15th E, Idaho Falls, ID 83404-8262 2019-08-23
1134647019 Randall James Law Physician Assistant 1995 E 17th St, Idaho Falls, ID 83404-6493 2017-08-31
1144772237 Alyssa Jenkins Physician Assistant 3820 Crestwood Ln, Idaho Falls, ID 83404 2016-10-25
1093103699 Tara Powell Physician Assistant 2730 Channing Way, Idaho Falls, ID 83404-5049 2015-01-05
1235568742 Shelley Leilani Davis Physician Assistant 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 2013-11-05
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Competitor

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City IDAHO FALLS
Zip Code 83404

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Dataset Information

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.

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