DR. MARK C HANSON (NPI# 1265483663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265483663 |
| Entity Type | Individual |
| Full Name | DR. MARK C HANSON |
| Credential | M.D. |
| Practice Address |
4140 Tate St Ne Covington GA 30014-2562 |
| Practice Telephone | 7707860077 |
| Practice Fax Number | 7707868750 |
| Mailing Telephone | 7707860077 |
| Mailing Fax Number | 7707868750 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30469 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00408614G | 05 | |
| GA | 00408614F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265594568 | Mark Bradley Hanson | Chiropractor | 215 Ohio Avenue, Iowa Falls, IA 50126 | 2006-12-14 |
| 1760551857 | Mark H Hanson | Dentist | 2000 Shady Lane, Green Bay, WI 54313-9311 | 2006-11-06 |
| 1255316956 | Mark Allen Hanson | Optometrist | 127 Main St, Black River Falls, WI 54615-1769 | 2005-12-14 |
| 1730189903 | Mark Leonard Hanson | Chiropractor | 11441 N Stemmons Fwy Ste 241, Dallas, TX 75229-2251 | 2005-07-28 |
| 1962402412 | Mark Robert Hanson | Optometrist | 2351 W Lamar Blvd, Arlington, TX 76012-5669 | 2005-07-27 |
| 1780030387 | Mark Hanson | Counselor | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-05-12 |
| 1255504379 | Mark Hanson | Psychologist | 510 4th St S, Fargo, ND 58103-1914 | 2008-04-09 |
| 1003984386 | Mark Sullivan Hanson | Psychologist | 130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400 | 2006-12-02 |
| 1396841987 | Mark Hanson | Family Medicine | 414 E Woodin Ave, Chelan, WA 98816-9648 | 2006-09-15 |
| 1548276256 | Mark J Hanson | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-01 |
| Street Address |
4140 TATE ST NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449926 | Georgia Heart Specialists, LLC | Specialist | 4140 Tate St Ne, Covington, GA 30014-2562 | 2005-09-30 |
| 1205882057 | James S Abraham | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-25 |
| 1134170517 | Enrique A Flores | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-12 |
| 1821048042 | Michael P Cecil | Internal Medicine | 4140 Tate St Ne, Covington, GA 30014-2562 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184140154 | Cardiovascular Specialty Care Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-08-21 |
| 1174757272 | James F. Woodard | Internal Medicine | 75375 River Rd, Covington, LA 70435-7623 | 2009-05-05 |
| 1124009220 | Ravi Kanagala | Internal Medicine | 101 Judge Tanner Blvd, Ste. 200, Covington, LA 70433-7503 | 2005-11-07 |
| 1013914050 | Salvatore Buttaci-guarino | Internal Medicine | 101 Judge Tanner Blvd Ste 300, Covington, LA 70433-7506 | 2005-07-06 |
| 1629070826 | Umesh A Patel | Internal Medicine | 39 Starbrush Cir, Covington, LA 70433-7304 | 2005-06-01 |
| 1881696086 | Ali M Amkieh | Internal Medicine | 141 Lakeview Circle, Covington, LA 70433 | 2005-06-01 |
| 1700402153 | Cardiomed Consultants, LLC | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2020-06-22 |
| 1861911166 | Cardiovascular Specialty Cath Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-09-18 |
| 1013302132 | Cardiovascular Clinic of Covington, LLC | Internal Medicine | 101 Judge Tanner Blvd, Ste. 506, Covington, LA 70433-7503 | 2015-04-06 |
| 1033549225 | Frank J Arena Md, Apmc | Internal Medicine | 1970 N Highway 190, Suite 100, Covington, LA 70433-5158 | 2013-11-25 |
| Find all providers in COVINGTON | ||||
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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.