GREGORY ERVIE HANSON (NPI# 1699060616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699060616 |
| Entity Type | Individual |
| Full Name | GREGORY ERVIE HANSON |
| Credential | M.D. |
| Practice Address |
1614 25th St Bedford IN 47421-5000 |
| Practice Telephone | 8122770118 |
| Practice Fax Number | 8122770127 |
| Mailing Telephone | 8122770118 |
| Mailing Fax Number | 8122770127 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01073772A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201231040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245698919 | Gregory Hanson | Orthopaedic Surgery | 1504 Victoria St, Brenham, TX 77833-5890 | 2016-02-09 |
| 1144280090 | Gregory Donald Hanson | Psychologist | 769 Newfield St, Suite 3, Middletown, CT 06457-1846 | 2006-03-24 |
| 1871560078 | Gregory Borg Hanson | Dentist | 5270 W 84 St, Bloomington, MN 55437 | 2006-03-07 |
| 1023505195 | Gregory Steven Hanson | Student in an Organized Health Care Education/Training Program | 1015 Walnut St Ste 620, Philadelphia, PA 19107-5005 | 2018-04-15 |
| 1942655915 | Gregory William Hanson | Pediatrics | 5282 Medical Dr Ste 310, San Antonio, TX 78229-6044 | 2016-04-27 |
| 1508249889 | Gregory James Hanson Jr. | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2015-07-03 |
| 1538443247 | Gregory J Hanson | Pharmacist | 19028 Lincoln Ave, Parker, CO 80134 | 2011-09-30 |
| 1144393737 | Gregory Hanson | Psychologist | 3100 W Lake St, Suite 210, Minneapolis, MN 55416-4527 | 2006-11-15 |
| 1437269263 | Gregory Scott Hanson | Emergency Medicine | 120 Pond Rd, Thompson Falls, MT 59873 | 2006-08-30 |
| 1699881748 | Gregory R Hanson | Urology | 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432-2765 | 2006-08-22 |
| Street Address |
1614 25TH ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598762528 | George W Sorrells Jr. | Pediatrics | 1614 25th St, Bedford, IN 47421-5000 | 2005-07-05 |
| 1083273825 | Cathern Amanda Pruett | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2019-06-06 |
| 1710544093 | Alisha Renee Stiles | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2019-05-22 |
| 1639691744 | Wyncel Joy Chan | Pediatrics | 1614 25th St, Bedford, IN 47421-5000 | 2017-07-10 |
| 1952785966 | Alexandra Freeman | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2015-07-20 |
| 1023457637 | Jamie R Bohnke | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2013-06-17 |
| 1154665313 | Rachael E Mullis | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2012-11-12 |
| 1295097913 | Kevin A Jones | Pediatrics | 1614 25th St, Bedford, IN 47421-5000 | 2012-06-08 |
| 1376867598 | Amanda Starks | Nurse Practitioner | 1614 25th St, Bedford, IN 47421-5000 | 2010-03-17 |
| 1215266739 | Pandu Ranga Sridhar | Pediatrics | 1614 25th St, Bedford, IN 47421-5000 | 2009-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765181 | Pedro Daniel Paez | Pediatrics | 2208 Murphy Dr Apt 704, Bedford, TX 76021-5912 | 2020-03-22 |
| 1386114106 | Childen's Community Care | Pediatrics | 1 Corporate Dr Ste 109, Bedford, PA 15522-7983 | 2018-12-05 |
| 1508336959 | Akansha Karowadia | Pediatrics | 2213 Martin Dr Ste 200, Bedford, TX 76021-6246 | 2018-11-28 |
| 1477786465 | Ana I Valdes Roque | Pediatrics | 2213 Martin Drive, Bedford, TX 76021 | 2009-08-25 |
| 1265601967 | University Hospitals Medical Practices Inc | Pediatrics | 22750 Rockside Rd # 302, Bedford, OH 44146-1574 | 2008-02-27 |
| 1487839882 | Jaime Bamford | Pediatrics | 1409 Old Dominion Blvd, Bedford, VA 24523-3285 | 2008-01-03 |
| 1922293802 | Katina Aurelia Raciti | Pediatrics | 290 Bedford Barksville Rd, Bedford, NY 10506-1925 | 2007-09-13 |
| 1922130897 | Gretchen A Kind | Pediatrics | 11 Sweeney Ridge Rd, Bedford, MA 01730-1297 | 2007-03-09 |
| 1912094335 | Sharon L Jackson | Pediatrics | 2716 Tibbets Dr, Bedford, TX 76022-6915 | 2006-10-06 |
| 1093801508 | Nilla Vibhakar | Pediatrics | 19999 Rockside Road, Bedford, OH 44146 | 2006-10-04 |
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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.