DR. ERIC MORGAN HANSON (NPI# 1376526095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376526095 |
| Entity Type | Individual |
| Full Name | DR. ERIC MORGAN HANSON |
| Credential | M.D. |
| Practice Address |
1515 Randolph Ct Manitowoc WI 54220-8345 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 9206835278 |
| Practice Fax Number | 9206832131 |
| Mailing Telephone | 9206835278 |
| Mailing Fax Number | 9206869674 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
53576-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4301085258 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
53576-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1376526095 | 05 | |
| WI | RAILROAD MEDICARE | P00766496 | 01 |
| WI | MEDICARE | 382000021 | 01 |
| WI | STATE LICENSE | 53576-020 | 01 |
| WI | DEA | BH7539159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356815245 | Eric Robert Hanson | Specialist/Technologist | 14545 Princeton Ave, Savage, MN 55378-2774 | 2019-01-14 |
| 1912251158 | Eric Hanson | Massage Therapist | 5155 Sw Alger Ave, Beaverton, OR 97005-2979 | 2012-11-08 |
| 1962732917 | Eric Louis Hanson | Registered Nurse | 2036 Courtyard Loop Apt 100, Sanford, FL 32771-7457 | 2010-01-13 |
| 1679656532 | Eric Martin Hanson | Dentist | 121 Mashell Ave. S., Eatonville, WA 98328 | 2006-10-23 |
| 1740259035 | Eric L Hanson | Dermatology | 301 Ne Knott St, Portland, OR 97212-3014 | 2006-03-17 |
| 1760460950 | Eric H Hanson | Medical Genetics | 5495 S Rainbow Blvd Ste 102, Las Vegas, NV 89118-1872 | 2006-01-06 |
| 1629558598 | Eric Matthew Hanson | Social Worker | 55 Fruit St. Wac 037, Boston, MA 02114-0211 | 2018-08-20 |
| 1902231772 | Eric R Hanson | Psychologist | 605 E Indian School Rd, Phoenix Va Healthcare System; Department of Psych(116b), Phoenix, AZ 85012-1845 | 2013-09-11 |
| 1700148764 | Eric John Hanson | Physical Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2012-06-14 |
| 1710112131 | Eric Hanson | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2009-05-29 |
| Street Address |
1515 RANDOLPH CT |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-8345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063602811 | Susan Ann Keiler | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220-8345 | 2007-07-27 |
| 1437378973 | Betsy Jane Wernli | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220-8345 | 2007-04-24 |
| 1134162019 | Kenneth Henry Katz | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220-8345 | 2006-06-14 |
| 1578515904 | Forefront Dermatology, S.c. | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220 | 2006-05-16 |
| 1891779179 | Sean Forrest Pattee | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578726717 | Kelli Ann Hutchens | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2008-07-08 |
| 1457554917 | Willmar Davison Patino Cadavid | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2007-06-11 |
| 1932209129 | Ling Xia | Dermatology | 801 York St, Manitowoc, WI 54220-4630 | 2006-09-25 |
| 1578515904 | Forefront Dermatology, S.c. | Dermatology | 1515 Randolph Ct, Manitowoc, WI 54220 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366776601 | Fleming Dermatopathology, LLC | Dermatology | 1661 N Water St, #500, Milwaukee, WI 53202-2085 | 2009-09-18 |
| 1073555033 | Fox Cities Dermatology & Skin Cancer Center, Sc | Dermatology | 188 Rockwood Ln, Neenah, WI 54956 | 2006-06-12 |
| 1730140245 | Andreas Friedl | Dermatology | 600 Highland Ave, Madison, WI 53792 | 2006-04-01 |
| 1821059346 | Wei Huang | Dermatology | 600 Highland Ave, Madison, WI 53792 | 2006-04-01 |
| 1609835669 | B Jack Longley | Dermatology | 451 Junction Rd, Madison, WI 53717 | 2006-03-20 |
Please comment or provide details below to improve the information on DR. ERIC MORGAN HANSON.
| 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.