REID HANSEN, M.D. (NPI# 1184895765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184895765 |
| Entity Type | Organization |
| Organization Name | REID HANSEN, M.D. |
| Practice Address |
900 Main St Suite 500 Peoria IL 61602-1005 |
| Practice Telephone | 3096373500 |
| Mailing Telephone | 3096373500 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | REID HERMAN HANSEN (OWNER) |
| Authorized Official Telephone | 3096373500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
900 MAIN ST SUITE 500 |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295260784 | Alexandra Gens | Psychiatry & Neurology | 900 Main St, Suite 720, Peoria, IL 61602-1005 | 2017-04-22 |
| 1407380751 | Unitypoint Health Methodist | Psychiatry & Neurology | 900 Main St, Suite 720, Peoria, IL 61602-1005 | 2017-04-13 |
| 1669823068 | Kory Jackson | Nurse Practitioner | 900 Main St, Ste 100, Peoria, IL 61602-1005 | 2016-06-27 |
| 1932554714 | Jamie Schupbach | Nurse Practitioner | 900 Main St, Ste 600, Peoria, IL 61602-1005 | 2016-04-28 |
| 1407223969 | Teresa Michelle Watts | Nurse Practitioner | 900 Main St, Suite 100, Peoria, IL 61602-1005 | 2015-08-31 |
| 1487054433 | Christina Lowrance | Nurse Practitioner | 900 Main St, Peoria, IL 61602-1005 | 2014-08-27 |
| 1295158194 | Karolina Wozny | Physician Assistant | 900 Main St, Suite 630, Peoria, IL 61602-1005 | 2014-01-28 |
| 1821423583 | Radha K Chathadi | Registered Nurse | 900 Main St, Suite 630, Peoria, IL 61602-1005 | 2013-09-12 |
| 1558796789 | Erin Surratt | Social Worker | 900 Main St, Suite 400, Peoria, IL 61602-1005 | 2013-09-06 |
| 1336490333 | Susan Copp | Nurse Practitioner | 900 Main St, Suite 600, Peoria, IL 61602-1005 | 2012-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275705188 | Atanu Biswas | Surgery | 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 | 2008-03-31 |
| 1033151162 | Eric T Elwood | Surgery | 1001 Main Street, 3rd Floor, Peoria, IL 61606-2037 | 2006-06-12 |
| 1720597065 | Jason Daniel Johnson, Pllc | Surgery | 15396 N 83rd Ave Ste B100, Peoria, AZ 85381-5626 | 2017-09-28 |
| 1073655676 | James Murray Jeffries IIi | Surgery | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1578068524 | Jw Operatory | Surgery | 1811 Saint Johns Ave Ste 100, Highland Park, IL 60035-5607 | 2018-03-29 |
| 1780198796 | Lin Plastic and Reconstructive Surgery Inc | Surgery | 730 W Couch Pl Unit 1409, Chicago, IL 60661-1383 | 2017-11-29 |
| 1750892923 | Alban Ingram Miller Jr. | Surgery | 1708 Foxborough Ct, Champaign, IL 61822-8503 | 2017-10-16 |
| 1972905545 | Jennifer Hein | Surgery | 2631 Williamsburg Ave Ste 102, Geneva, IL 60134-1108 | 2014-09-25 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1043559842 | Msa Alliance, LLC | Surgery | 1 Broadway Plz, Sparta, IL 62286-1800 | 2013-02-14 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1952692717 | Georgios Kokosis | Surgery | 1725 W Harrison St Ste 425, Chicago, IL 60612-3893 | 2011-04-28 |
| 1740596808 | Swedishamerican Hospital | Surgery | 6533 Lexus Dr, Rockford, IL 61108 | 2010-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REID HANSEN, M.D..
| 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.