JONATHAN B HANSON (NPI# 1992735583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992735583 |
| Entity Type | Individual |
| Full Name | JONATHAN B HANSON |
| Credential | M.D. |
| Practice Address |
1373 E State Road 62 Madison IN 47250 |
| Mailing Address |
Po Box 3395 Evansville IN 47732-3395 |
| Practice Telephone | 8128010764 |
| Practice Fax Number | 8128010027 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 01060659 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000364028 | 01 |
| IN | SIHO | 059905 | 01 |
| IN | 200517770C | 05 | |
| AETNA | 788574 | 01 | |
| KY | KY PASSPORT | 50007149 | 01 |
| KY | 64100803 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982799219 | Jonathan Harold Hanson | Physical Therapist | 1813 O Ave, Anacortes, WA 98221-2344 | 2006-10-03 |
| 1205456977 | Jonathan Hanson | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-22 |
| 1689101511 | Jonathan Thomas Hanson | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2017-05-23 |
| 1134496557 | Jonathan Christopher Hanson | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2011-11-30 |
| 1518073402 | Jonathan Grant Hanson | Dentist | 1400 Southwest Blvd, Suite C, Jefferson City, MO 65109-2490 | 2006-08-22 |
| 1457395089 | Jonathan Hanson | Nurse Practitioner | 400 Campus Blvd Ste 100, Winchester, VA 22601-6906 | 2006-06-15 |
| Street Address |
1373 E STATE ROAD 62 |
| City | MADISON |
| State | IN |
| Zip Code | 47250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341281 | George L. Alcorn | Internal Medicine | 1373 E State Road 62, Madison, IN 47250 | 2005-10-24 |
| 1538628714 | Lisa Christine Blevens | Nurse Practitioner | 1373 E State Road 62, Madison, IN 47250-7328 | 2019-03-18 |
| 1194256933 | Corey Michael Foster | Internal Medicine | 1373 E State Road 62, Madison, IN 47250-7328 | 2017-03-23 |
| 1437508033 | Kimberly Elisa Hall | Registered Nurse | 1373 E State Road 62, Madison, IN 47250-7328 | 2016-06-06 |
| 1548680812 | Daniel Long | Nurse Practitioner | 1373 E State Road 62, Madison, IN 47250-7328 | 2014-04-24 |
| 1649608795 | Jefferson Lake Emergency Physicians LLC | Physician Assistant | 1373 E State Road 62, Madison, IN 47250-7328 | 2013-10-29 |
| 1942549464 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 1373 E State Road 62, Madison, IN 47250-7328 | 2013-02-04 |
| 1497024426 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Clinical Medical Laboratory | 1373 E State Road 62, Madison, IN 47250-7328 | 2011-12-20 |
| 1598094252 | Charity Hope Welch | Nurse Practitioner | 1373 E State Road 62, Madison, IN 47250-7328 | 2009-12-09 |
| 1891855045 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Ambulance | 1373 E State Road 62, Madison, IN 47250-7328 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010977 | Chad Michael Ennis | Otolaryngology | 1 S Park St Fl 6, Madison, WI 53715-1375 | 2015-04-08 |
| 1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
| 1700145091 | Kenneth Brian Lewoczko | Otolaryngology | 600 Highland Ave., H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2012-05-08 |
| 1871814715 | Norval Eldred Bernhardt | Otolaryngology | 9 Holt Ct, Madison, WI 53719-3036 | 2010-06-15 |
| 1215057492 | North Alabama Ent Associates, P.C. | Otolaryngology | 8337 Highway 72 W, Suite 301, Madison, AL 35758-9547 | 2007-03-30 |
| 1609831387 | Ashley G Anderson | Otolaryngology | 531 N Pinckney St Unit E, Madison, WI 53703-1432 | 2006-04-18 |
| 1265432827 | Michael H Mcdonald Mdsc | Otolaryngology | 3209 Dryden Dr, Madison, WI 53704-3015 | 2005-07-26 |
| 1700382470 | Nainika Nanda | Otolaryngology | 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-02 |
| 1760905509 | Medical Foundation of Central Ms Inc. | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2017-07-24 |
| 1518311752 | Thomas Gessert | Otolaryngology | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-13 |
| Find all providers in MADISON | ||||
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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.