CRAIG E HANSON (NPI# 1578600565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578600565 |
| Entity Type | Individual |
| Full Name | CRAIG E HANSON |
| Credential | M.D. |
| Practice Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604324400 |
| Practice Fax Number | 2609696898 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696898 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 4301057977 | MI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35068533 | OH | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
01053849A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0161720 | 05 | |
| IN | 200841050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806178 | Craig Royce Hanson | Physical Therapist | 2371 Crockett Drive, Ste 104, Brownwood, TX 76801-6047 | 2019-02-06 |
| 1275697138 | Craig E Hanson | Social Worker | 9670 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3307 | 2006-12-21 |
| 1083628630 | Craig Mclean Hanson | Dentist | 39520 Woodward Ave, Suite 204, Bloomfield Hills, MI 48304-5054 | 2006-07-28 |
| 1346209376 | Craig Curtis Hanson | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2006-03-20 |
| Street Address |
2518 E DUPONT RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619962198 | Vicki L Bahls | Registered Nurse | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-09-12 |
| 1063931137 | Laura Dirig | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-09-11 |
| 1639601156 | Whitney Friesen Nisley | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-04-03 |
| 1861935918 | Crystal Webb | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-11-22 |
| 1285097634 | Michelle Durrant | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-04-02 |
| 1922486885 | Emelia Winston | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2015-05-12 |
| 1437575065 | Casey Norton | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2014-03-06 |
| 1275809311 | Emmary Samel Butler | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2012-03-22 |
| 1518273887 | Cara E. Stansifer | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2010-08-25 |
| 1326373192 | Deborah Marie Spurr | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487809588 | Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-18 |
| 1003880527 | Gita S Singh | Obstetrics & Gynecology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1675 | 2006-02-13 |
| 1386639565 | Scott C Boyd | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-09-14 |
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on CRAIG E 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.