JEREMY RYAN HANSON (NPI# 1194186130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194186130 |
| Entity Type | Individual |
| Full Name | JEREMY RYAN HANSON |
| Credential | DO |
| Practice Address |
30 W 24th St Fl 2 New York NY 10010 |
| Mailing Address |
30 W 24th St Fl 2 New York NY 10010-3560 |
| Practice Telephone | 2123665100 |
| Mailing Telephone | 2123665100 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2019-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
291797 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 327 Beach 19th St, Far Rockaway, NY 116914423 | 7188697815 | |
| 30 W 24th St Fl 2, New York, NY 10010 | 2123665100 |
| Street Address |
30 W 24TH ST FL 2 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309825 | Naresh C. Rao | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2005-07-13 |
| 1871057141 | Laura Christina Fundingsland | Physician Assistant | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2019-01-30 |
| 1225482706 | Joseph Ryan Bautista | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2016-04-20 |
| 1417332701 | Sara Caslow | Physician Assistant | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2015-07-28 |
| 1063825792 | Sangjin Lim | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2014-06-10 |
| 1144231226 | Sports Medicine At Chelsea, Pllc. | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2006-08-11 |
| 1174564330 | Clifford Stark | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2006-06-09 |
| 1649260001 | Aran Degenhardt | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
| 1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
| 1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
| 1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
| Find all providers in zip 10010 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649680240 | Makoto Michael Yoshino | Family Medicine | 22 W 21st St Ste 400, New York, NY 10010 | 2014-05-05 |
| 1952309825 | Naresh C. Rao | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2005-07-13 |
| 1457831174 | Performance Medical Praactice LLC | Family Medicine | 160 E 56th St, 3rd Floor, New York, NY 10011 | 2018-08-21 |
| 1225482706 | Joseph Ryan Bautista | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2016-04-20 |
| 1790140044 | Nyc Downtown Health LLC | Family Medicine | 290 Madison Ave, 6th Floor, New York, NY 10017-6308 | 2015-12-30 |
| 1063825792 | Sangjin Lim | Family Medicine | 30 W 24th St Fl 2, New York, NY 10010-3560 | 2014-06-10 |
| 1194163857 | Daniel Hamner Md PC | Family Medicine | 799 Broadway, Ste 619, New York, NY 10003-6811 | 2013-06-04 |
| 1215258470 | Ryan J Lingor | Family Medicine | 523 E 72nd St Fl 7, New York, NY 10021-4099 | 2010-06-22 |
| 1346560455 | Kenton Howard Fibel | Family Medicine | 535 E 70th St, Attention: Kenton Fibel, Md, New York, NY 10021-4823 | 2010-06-11 |
| 1184948077 | Daphne Amanda Scott | Family Medicine | 535 E 70th St, New York, NY 10021-4823 | 2010-03-21 |
| Find all providers in NEW YORK | ||||
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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.