DR. JASON HANSEN (NPI# 1285734822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285734822 |
| Entity Type | Individual |
| Full Name | DR. JASON HANSEN |
| Credential | M.D. |
| Practice Address |
2000 S 900 E Salt Lake City UT 84105-3208 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014666647 |
| Practice Fax Number | 8014647558 |
| Mailing Telephone | 8014666647 |
| Mailing Fax Number | 8014647558 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2011-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 364336-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 2007-00601 | NC | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2007-00601 | NC | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
2007-00601 | NC | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
2007-00601 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043757 | Jason L Hansen | Dentist | 5731 Silverstone Terrace, Suite 270, Colorado Springs, CO 80919 | 2006-02-22 |
| 1215414263 | Jason Mitchell Hansen | Pharmacist | 451 Deinhard Ln, Mccall, ID 83638-4800 | 2018-07-23 |
| 1710481577 | Jason Hansen | Student in an Organized Health Care Education/Training Program | Medical Center Blvd., Wake Forest School of Medicine - Dept of Psychiatry, Winston Salem, NC 27157 | 2018-03-19 |
| 1699187252 | Jason R Hansen | Dentist | 7515 Quaker Ave, Suite 300, Lubbock, TX 79424-5308 | 2014-05-29 |
| 1770814238 | Jason Conway Hansen | Physician Assistant | 1034 N 500 W, Utah Valley Emergency Physicians, Provo, UT 84604 | 2010-01-23 |
| 1225294853 | Jason Lindsay Hansen | Internal Medicine | 577 S River Rd, St George, UT 84790-2097 | 2008-08-04 |
| 1447467220 | Jason John Hansen | Emergency Medicine | 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 | 2007-05-17 |
| Street Address |
2000 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232750 | Rachel Elizabeth Baar | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2006-05-17 |
| 1528689528 | Elizabeth Ashby | Specialist/Technologist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2020-04-30 |
| 1245754878 | Rebecca Vaillancourt Swain | Nurse Practitioner | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2017-07-26 |
| 1891242541 | Madelena H. Pimentel | Physician Assistant | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2016-09-09 |
| 1528488111 | Haddie Chaney | Physical Therapist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2014-04-22 |
| 1417374323 | Robert J Willer Jr. | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2014-03-28 |
| 1184055592 | Derek John Storrs | Physical Therapist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2013-12-11 |
| 1033558903 | Igor A Areinamo | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2013-06-24 |
| 1093014425 | Barbora Dvorakova Nelson | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2011-03-24 |
| 1851617716 | Kortni Lynn Unger | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2010-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680184 | West Valley Dermatology | Dermatology | 3465 S Pioneer Pkwy, Suite 1, Salt Lake City, UT 84120-2076 | 2014-04-22 |
| 1558782276 | Margaret Maria Cocks | Dermatology | 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132-0002 | 2013-12-23 |
| 1588007520 | Blake Patrick Sampson | Dermatology | University of Utah Department of Dermatology, 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2013-04-09 |
| 1689943219 | Richard H Odell Md PC | Dermatology | 1345 E 3900 S. Suite 110, Salt Lake City, UT 84124 | 2011-12-28 |
| 1770779050 | Keith Duffy | Dermatology | University of Utah Dept Of, 50 N Medical Dr, Salt Lake City, UT 84112-1102 | 2007-09-19 |
| 1255543971 | Norman Everett Bystol | Dermatology | 4021 S 700 East, Suite 300 Comp Health, Salt Lake City, UT 84107 | 2007-05-04 |
| 1740346071 | Rosemary Ann Deshazo | Dermatology | 50 N 1900 E, Univ of Utah Internal Medicine Dept, Som 4c104, Salt Lake City, UT 84132-0001 | 2006-12-29 |
| 1215999875 | Richard H Odell | Dermatology | 1345 E 3900 S Ste 110, Salt Lake City, UT 84124-4403 | 2006-04-06 |
| 1659350049 | Don L Reese | Dermatology | 999 Murray Holladay Rd, Suite 207, Salt Lake City, UT 84117-4901 | 2006-01-13 |
| 1407851595 | Wendy L Matis | Dermatology | 710 E 200 S, Ste 1b, Salt Lake City, UT 84102-2265 | 2005-06-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.