MR. CRAIG K. HANSEN (NPI# 1730242033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730242033 |
Entity Type | Individual |
Full Name | MR. CRAIG K. HANSEN |
Credential | M.D. |
Practice Address |
2620 Jackson Blvd #c Rapid City SD 57702-3478 |
Practice Telephone | 6053411208 |
Practice Fax Number | 6053413552 |
Mailing Telephone | 6053411208 |
Mailing Fax Number | 6053413552 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2011-03-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 2541 | SD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | WELLMARK BLUE CROSS | 0001972 | 01 |
SD | 5601950 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275001778 | Craig Allen Hansen | Counselor | 505 E Foothills Dr Ste 300, Spokane, WA 99207-2101 | 2018-11-02 |
1851798656 | Craig Scott Hansen | Nurse's Aide | 4956 Cherrywood Ln, Hermantown, MN 55811-1403 | 2014-11-24 |
1861842858 | Craig Hansen | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Tc 3116, Ann Arbor, MI 48109 | 2016-06-21 |
1932489267 | Craig Daniel Hansen | Pharmacist | 1744 Suburban Ave, T-0068, Saint Paul, MN 55106-6619 | 2011-08-17 |
1043415441 | Craig Alexander Hansen I | Physical Therapist | 92 Montvale Ave, Ste 1400, Stoneham, MA 02180-3629 | 2007-06-18 |
1548353402 | Craig L Hansen | Anesthesiology | 4401 Harrison Boulevard, Mckay Dee Hospital, Ogden, UT 84403 | 2006-10-02 |
1659363182 | Craig L Hansen | Orthopaedic Surgery | 1 Edmundson Pl, #200, Council Bluffs, IA 51503-4658 | 2005-08-19 |
Street Address |
2620 JACKSON BLVD #C |
City | RAPID CITY |
State | SD |
Zip Code | 57702-3478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275635187 | Chad Richard Meyer | Dentist | 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 | 2006-09-01 |
1821501438 | Pokorny Chiropractic Clinic, LLC | Chiropractor | 2620 Jackson Blvd, Rapid City, SD 57702-1502 | 2017-11-06 |
1629315932 | Jackson Boulevard Dental Associates | Dentist | 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 | 2013-01-07 |
1902110836 | Creekside Medical Clinic, Prof. LLC | Family Medicine | 2620 Jackson Blvd, Suite C, Rapid City, SD 57702-1502 | 2010-08-03 |
1447449079 | Craig K. Hansen | Family Medicine | 2620 Jackson Blvd, Suite C, Rapid City, SD 57702-3478 | 2007-10-19 |
1831381581 | Judith M Kennedy | Counselor | 2620 Jackson Blvd, Rapid City, SD 57702-1502 | 2007-08-16 |
1194859256 | James L. Bockwoldt, Dds, PC | Dentist | 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 | 2007-03-14 |
1982785580 | Kieffer Family Dental | Dentist | 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 | 2006-10-18 |
1437245586 | James L Bockwoldt | Dentist | 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 | 2006-10-05 |
1407940232 | Richard Meyer Dds PC | Dentist | 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 | 2006-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
Find all providers in zip 57702 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467003251 | Arthur Lampert | Family Medicine | 1770 Tablerock Rd Apt 120, Rapid City, SD 57701-5586 | 2019-09-24 |
1518372127 | Carson Phillips | Family Medicine | 2822 Jackson Blvd Ste 101, Rapid City, SD 57702-3497 | 2014-06-23 |
1275873606 | Douglas Jon Heintz | Family Medicine | 2507 Thames Cir, Rapid City, SD 57702-5305 | 2013-02-21 |
1629315858 | Allen Byford Anderson | Family Medicine | 975 City Springs Rd, Rapid City, SD 57702-0239 | 2013-01-08 |
1902084619 | Kenneth C Diamond Md PC | Family Medicine | 703 Quincy Street, Suite 1, Rapid City, SD 57701-3669 | 2008-02-05 |
1538353586 | Alexia Georgas Gillen | Family Medicine | 1303 N Lacrosse St, Rapid City, SD 57701-6956 | 2007-09-04 |
1881754257 | James Edward Packer | Family Medicine | 9511 Shell Way Dr, Rapid City, MI 49676-9300 | 2006-12-08 |
1881786762 | Bruce D Lirones | Family Medicine | 9895 Rapid City Rd Nw, Rapid City, MI 49676-9506 | 2006-09-29 |
1891724407 | Jon Mathias Wingert | Family Medicine | 2822 Jackson Blvd, Suite 101, Rapid City, SD 57702-3497 | 2006-07-03 |
1386672806 | John Joseph Lassegard | Family Medicine | 211 Founders Park Drive Suite 3, Founders Park Clinic, Rapid City, SD 57701 | 2006-06-30 |
Find all providers in RAPID CITY |
City | RAPID CITY |
Zip Code | 57702 |
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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.