Deidre A Hansen (NPI# 1811125115, PAC ID# 4082878798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1811125115 |
| PAC ID by PECOS | 4082878798 |
| Professional Enrollment ID | I20130626000584 |
| Full Name | Deidre A Hansen |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Address |
200 Hospital Dr Suite 112 Glen Burnie MD 21061-5861 |
| Phone Number | 4107685555 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254327950 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hospital Dr, Suite 112, Glen Burnie, MD 21061-5861 | 4107685555 | ADVANCED RADIOLOGY PA |
| 200 Hospital Dr, Suite Ll20, Glen Burnie, MD 21061-6436 | 4436636900 | ADVANCED RADIOLOGY PA |
| Organization Legal Name | ADVANCED RADIOLOGY PA |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Crouch | Diagnostic Radiology | Advanced Radiology Pa | 8801 Bellancia Dr, Austin, TX 78738-7626 |
| Audrey P Mccarron | Diagnostic Radiology | Advanced Radiology Pa | 11425 Dairy St, Fulton, MD 20759-2662 |
| Clarence C Coleman Jr. | Diagnostic Radiology | Advanced Radiology Pa | 810 Delany Dr, Raleigh, NC 27610-1616 |
| Frank J Welte | Diagnostic Radiology | Advanced Radiology Pa | 112 Corona St, San Francisco, CA 94127-2808 |
| Patricia O Macfarlane | Diagnostic Radiology | Advanced Radiology Pa | 521 W 9th St, Concordia, KS 66901-3319 |
| Jennifer E Bryant | Diagnostic Radiology | Advanced Radiology Pa | 36 Hoffmann Rd, Canton, CT 06019-2123 |
| Holly E Korsvik-wysocki | Diagnostic Radiology | Advanced Radiology Pa | 11913 Tallwood Ct, Potomac, MD 20854-2169 |
| Michael L Hynes | Diagnostic Radiology | Advanced Radiology Pa | 143 Green St, Apt 1, New York, NY 10012-3245 |
| Gregory E Kenyherz | Diagnostic Radiology | Advanced Radiology Pa | 10300 Rainmaker Ct, Reno, NV 89511-5352 |
| Donna Decosta | Diagnostic Radiology | Advanced Radiology Pa | 8601 Veterans Hwy, Suite 100, Millersville, MD 21108-1571 |
| Street Address |
200 HOSPITAL DR SUITE 112 |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-5861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darien A Mellerson | Physical Therapy | Centers for Advanced Orthopaedics LLC | 200 Hospital Dr, Glen Burnie, MD 21061-5884 |
| David Loyd Adkins | Physician Assistant | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Linda Radford-goad | Nurse Practitioner | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Anuradha Bhasin | Diagnostic Radiology | Advanced Radiology Pa | 200 Hospital Dr, Suite 112, Glen Burnie, MD 21061-5861 |
| Nazir A Adam | Emergency Medicine | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Warren J Mccarter | Emergency Medicine | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Brandon August Cestaric | Family Medicine | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Sujit Vakkalanka | Hospitalist | Peachtree Inpatient Consulting LLC | 200 Hospital Dr, Galax, VA 24333-2227 |
| Landon W Garland Jr. | Diagnostic Radiology | Galax Radiology, Inc. | 200 Hospital Dr, Galax, VA 24333-2227 |
| Katherine Rose V Tigas | Family Medicine | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GLEN BURNIE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Deidre A Hansen.
| 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.