SHAUN B HANSON (NPI# 1831464130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831464130 |
| Entity Type | Individual |
| Full Name | SHAUN B HANSON |
| Credential | MD |
| Practice Address |
10012 Kennerly Rd Ste 102 Saint Louis MO 63128 |
| Mailing Address |
10012 Kennerly Rd Ste 102 Saint Louis MO 63128-2197 |
| Practice Telephone | 3148496066 |
| Mailing Telephone | 3148496066 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C10011397 | DE | Allopathic & Osteopathic Physicians |
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
2019020900 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 West 14th Street, Wilmington Hospital, Wilmington, DE 198011013 | 3024284410 | 3024284078 |
| Street Address |
10012 KENNERLY RD STE 102 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871093690 | St. Anthony's Physician Organization | Internal Medicine | 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831331990 | Amy Wei Wei Zhou | Internal Medicine | 4901 Forest Park Ave Ste 7b, Ste 7b, Saint Louis, MO 63108-1402 | 2009-04-03 |
| 1891946349 | Mercy Clinic St. Louis Cancer and Breast Institute, LLC | Internal Medicine | 621 S New Ballas Rd Ste 260a, Saint Louis, MO 63141-8256 | 2008-10-02 |
| 1558665844 | Sana Saif Ur Rehman | Internal Medicine | 4921 Parkview Pl, Floor 7 Suite B, Saint Louis, MO 63110 | 2010-12-31 |
| 1528252483 | Kristen Marie Sanfilippo | Internal Medicine | 4921 Parkview Pl Ste 7b, Ste 7b, Saint Louis, MO 63110-1032 | 2007-09-04 |
| 1841494358 | Stephen T Oh | Internal Medicine | 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 | 2007-06-11 |
| 1689692493 | Katherine P Ponder | Internal Medicine | 4921 Parkview Pl, 7th Floor, Saint Louis, MO 63110-1032 | 2006-07-18 |
| 1912924473 | Gregory D Longmore | Internal Medicine | 4921 Parkview Pl, 7th Floor, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1891713301 | Stuart A Kornfeld | Internal Medicine | 4921 Parkview Pl, 7th Floor, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1285651711 | J Evan Sadler | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1457377764 | Charles S Eby | Internal Medicine | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2006-07-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.