Miriam Hanson (NPI# 1619047339, PAC ID# 0941391460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1619047339 |
| PAC ID by PECOS | 0941391460 |
| Professional Enrollment ID | I20070813000110 |
| Full Name | Miriam Hanson |
| Organization Legal Name | SANOVA DERMATOLOGY PLLC |
| Address |
12319 N Mopac Expressway Suite 100 Austin TX 78758-2403 |
| Phone Number | 5128373376 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8527235340 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 | 5128373376 | SANOVA DERMATOLOGY PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 85% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 92% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 96% |
| Organization Legal Name | SANOVA DERMATOLOGY PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aron J Gewirtzman | Dermatology | Sanova Dermatology Pllc | 3705 Medical Pkwy, Suite 340, Austin, TX 78705-1023 |
| Adam Mamelak | Dermatology | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Edward L Lain | Dermatology | Sanova Dermatology Pllc | 4300 N Quinlan Park Rd, 225 Sanova Dermatology Steiner Ranch, Austin, TX 78732-6076 |
| Jennifer J Jordan | Physician Assistant | Sanova Dermatology Pllc | 1601 E Pflugerville Pkwy, 1102 Sanova Dermatology Pflugerville, Pflugerville, TX 78660-8902 |
| Kellie Reed | Dermatology | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Melanie Marie Pickett | Dermatology | Sanova Dermatology Pllc | 3705 Medical Pkwy, Suite 340, Austin, TX 78705-1023 |
| Daniel A Carrasco | Dermatology | Sanova Dermatology Pllc | 3705 Medical Pkwy, Suite 340, Austin, TX 78705-1023 |
| Gilberto Saenz Iii | Physician Assistant | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Ashley Austin Evans | Physician Assistant | Sanova Dermatology Pllc | 13830 Sawyer Ranch Rd, Suite 304, Dripping Springs, TX 78620-5514 |
| Emily Joan Johnston | Physician Assistant | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Street Address |
12319 N MOPAC EXPRESSWAY SUITE 100 |
| City | AUSTIN |
| State | TX |
| Zip | 78758-2403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Mamelak | Dermatology | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Kellie Reed | Dermatology | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Sarah S Stiriss | Nurse Practitioner | Austin Urogynecology, Pllc | 12319 N Mopac Expressway, Bldg. C Suite 200, Austin, TX 78758-5371 |
| Rebekah Kristine Longshore | Nurse Practitioner | Austin Urogynecology, Pllc | 12319 N Mopac Expressway, Bldg. C Suite 200, Austin, TX 78758-5371 |
| Gilberto Saenz Iii | Physician Assistant | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Emily Joan Johnston | Physician Assistant | Sanova Dermatology Pllc | 12319 N Mopac Expressway, Suite 100, Austin, TX 78758-2403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie B Debarge | Certified Registered Nurse Anesthetist (crna) | Austin Anesthesiology Group Pllc | 1221 Mopac Expwy N, Austin, TX 78758 |
| Lindsie Peters | Nurse Practitioner | Nandini Kohli, Md, P.a. | 2200 Parkbend Dr, Bld 2 Suite 300, Austin, TX 78758 |
| Tony Dang | Family Medicine | 1139 W Braker Lane, Suite 103, Austin, TX 78758 | |
| Cameron L Keller | Emergency Medicine | Longhorn Emergency Medical Associates Pa | 12221 N Mo Pac Expy, St. David's North Austin Ed, Austin, TX 78758-2401 |
| Benjamin R Winders | Internal Medicine | St Davids Heart and Vascular Pllc | 12221 N Mopac Expy, 1st Floor N, Austin, TX 78758-2401 |
| Darius Clarke | Physical Medicine and Rehabilitation | Restorative Health and Wellness Pllc | 12221 N Mopac Expy Fl, 1 St Davids North Austin Rehab Hospital, Austin, TX 78758-2401 |
| Jacqueline A Lappin | General Surgery | Capital Area Surgeons Pllc | 12221 Mopac Expressway N, Austin, TX 78758-2401 |
| Dmitri Nikolaenko | Internal Medicine | Ipc Healthcare Services of Texas Pllc | 12221 N Mopac Expy, Austin, TX 78758-2401 |
| Michelle Leigh Mcdonald | Urology | Capital Area Surgeons Pllc | 12221 Mopac Expressway N, Austin, TX 78758-2401 |
| Christina Sebestyen | Obstetrics/gynecology | Unified Womens Healthcare of Texas Pllc | 12221 N Mo Pac Expy, Austin, TX 78758-2401 |
| Find all physicians in zip 78758 | |||
| City | AUSTIN |
| Zip Code | 78758 |
| Specialty | DERMATOLOGY |
| City + Specialty | AUSTIN + DERMATOLOGY |
Please comment or provide details below to improve the information on Miriam Hanson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.