DR. MARK T HANSBERRY (NPI# 1417993262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417993262 |
| Entity Type | Individual |
| Full Name | DR. MARK T HANSBERRY |
| Practice Address |
One Medical Center Drive Dartmouth Hitchcock - Radiology Lebanon NH 03756 |
| Practice Telephone | 6036507650 |
| Mailing Telephone | 6036507650 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042.0010258 | VT | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11277 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1008034 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 243 Elm St, Valley Regional Hospital, Claremont, NH 037432005 | 6035427771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790045748 | Mark Hansberry | Physical Therapist | 564 Main St, Waltham, MA 02452-5516 | 2012-05-24 |
| Street Address |
ONE MEDICAL CENTER DRIVE DARTMOUTH HITCHCOCK - RADIOLOGY |
| City | LEBANON |
| State | NH |
| Zip Code | 03756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275161655 | Monica Chowdary | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Dept of Emergency Medicine, Lebanon, NH 03756-0001 | 2020-03-31 |
| 1326675596 | Benjamin Howard Shapiro | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756 | 2020-03-26 |
| 1437797685 | Mark S Bilodeau | Physician Assistant | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1962040600 | Janelle Voight Pickering | Registered Nurse | One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 | 2019-12-12 |
| 1417506544 | Rachel Kymberly Rooke | Nurse Practitioner | One Medical Center Drive, Pediatric Cardiology, Lebanon, NH 03756-0001 | 2019-09-11 |
| 1396398145 | Gemma Brooke Ogilvie Pentland | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-22 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1215599295 | Chelsea E Salomon | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-01 |
| 1124683222 | Brianne Marie Tansey | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-05-03 |
| 1851954945 | Jane B Vasquez | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1417319161 | Joseph Martin Clark | Radiology | 16 E High St, Lebanon, PA 17042-5454 | 2016-03-22 |
| 1902900061 | Susan B Humphreys Md PC | Radiology | Carroll & Tate Streets, Lebanon, VA 24266 | 2006-09-11 |
| 1467499079 | Philip Dennison Stieg | Radiology | Fourth & Walnut Streets, Radiology Department, Lebanon, PA 17042-1281 | 2006-06-01 |
| 1285689513 | Vision Imaging of Lebanon LLC | Radiology | 805 Helen Dr, Lebanon, PA 17042-7493 | 2006-05-24 |
| 1902876352 | Radiology & Nuclear Medicine Associates | Radiology | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-01-26 |
| 1669469532 | Daniel William Hottenstein | Radiology | 231 Valley Rd, Lebanon, PA 17042-8930 | 2005-10-05 |
| 1811998073 | Susan Barrow Humphreys | Radiology | Carroll & Tate Sts, Box 3600, Lebanon, VA 24266 | 2005-08-09 |
| 1346246436 | Lebanon Diagnostic Imaging, LLC | Radiology | 960 Isabel Dr, Lebanon, PA 17042-7482 | 2005-06-23 |
| 1386175859 | Joshua Harris Litchman | Radiology | 1 Medical Dr, Lebanon, NH 03756 | 2017-03-25 |
| Find all providers in LEBANON | ||||
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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.