Kristopher Joel Hansen (NPI# 1326485202, PAC ID# 4789979055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1326485202 |
| PAC ID by PECOS | 4789979055 |
| Professional Enrollment ID | I20181001000699 |
| Full Name | Kristopher Joel Hansen |
| Organization Legal Name | ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA, INC. |
| Address |
2600 Research Dr A Blacksburg VA 24060 |
| Phone Number | 5403815291 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 8628053006 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| 490116 | LEWISGALE HOSPITAL PULASKI |
| 490038 | SMYTH COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2600 Research Dr A, Blacksburg, VA 24060 | 5403815291 | ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA, INC. |
| Organization Legal Name | ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA, INC. |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Karanita M Ojomo | Radiation Oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2400 Lee N Hwy, Pulaski, VA 24301-2326 |
| Paul D Richards | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2013 S Jefferson St, Roanoke, VA 24014-2480 |
| Joshua A Morales | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2013 S Jefferson St, Roanoke, VA 24014-2480 |
| Caroline A Cerio | Physician Assistant | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2013 S Jefferson St, Roanoke, VA 24014-2480 |
| John W Rogers | Radiation Oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 1900 Electric Rd, Blue Ridge Cancer Care, Salwm, VA 24153-7474 |
| Lucia M Kulhavy | Physician Assistant | Oncology and Hematology Associates of Southwest Virginia, Inc. | 1900 Electric Rd, Blue Ridge Cancer Care, Salwm, VA 24153-7474 |
| Jennifer L Foster | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2013 S Jefferson St, Roanoke, VA 24014-2480 |
| Harry E Mccoy | Medical Oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2013 S Jefferson St, Roanoke, VA 24014-2480 |
| Heather Dawn Brooks | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2013 S Jefferson St, Roanoke, VA 24014-2480 |
| Street Address |
2600 RESEARCH DR A |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Rony Chakib Masri | Physical Therapy | Total Motion Physical Therapy LLC | 757 University City Blvd, Blacksburg, VA 24060-2705 |
| Cody R Gingerich | Physical Therapy | Total Motion Physical Therapy LLC | 757 University City Blvd, Blacksburg, VA 24060-2705 |
| Mark J Gallant | Physical Therapy | Total Motion Physical Therapy LLC | 757 University City Blvd, Blacksburg, VA 24060-2705 |
| Vincent J Schneider | Physical Therapy | Total Motion Physical Therapy LLC | 757 University City Blvd, Blacksburg, VA 24060-2705 |
| Kelly Orourke Russell | Clinical Social Worker | New River Valley Community Services | 700 University City Blvd, Blacksburg, VA 24060-2706 |
| Christina L Watty | Clinical Social Worker | New River Valley Community Services | 700 University City Blvd, Blacksburg, VA 24060-2706 |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | BLACKSBURG + HEMATOLOGY/ONCOLOGY |
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| 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.