Todd C Hansen (NPI# 1245293455, PAC ID# 7517906555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1245293455 |
| PAC ID by PECOS | 7517906555 |
| Professional Enrollment ID | I20050428000555 |
| Full Name | Todd C Hansen |
| Organization Legal Name | CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC |
| Address |
1416 E A St Suite 101 Casper WY 82601-2276 |
| Phone Number | 3075778600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2668454588 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530012 | WYOMING MEDICAL CENTER |
| 530002 | CAMPBELL COUNTY HEALTH |
| 531302 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| 531316 | MEMORIAL HOSPITAL OF CARBON COUNTY |
| 531303 | WESTON COUNTY HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 1416 E A St, Suite 101, Casper, WY 82601-2276 | 3075778600 | CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 90% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CENTRAL WYOMING UROLOGICAL ASSOCIATES, PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad E Sundquist | Physician Assistant | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| John P Jones Iii | Urology | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Brandon Paul Trojan | Urology | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Henry P Gottsch | Urology | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Mary Ellen Williams | Nurse Practitioner | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Street Address |
1416 E A ST SUITE 101 |
| City | CASPER |
| State | WY |
| Zip | 82601-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad E Sundquist | Physician Assistant | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| John P Jones Iii | Urology | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Brandon Paul Trojan | Urology | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Henry P Gottsch | Urology | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Mary Ellen Williams | Nurse Practitioner | Central Wyoming Urological Associates, PC | 1416 E A St, Suite 101, Casper, WY 82601-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Scott Bevan | Podiatry | 1950 E Beverly St, Casper, WY 82601 | |
| Jennifer L Greenup | Clinical Social Worker | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 | |
| Kelly N Dornbier | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Marla J Wonser | Occupational Therapy | The Shriver Therapy Group, Inc. | 800 Werner Ct, Suite 300, Casper, WY 82601-1325 |
| Amy E Linam | Speech Language Pathologist | The Shriver Therapy Group, Inc. | 800 Werner Ct, Casper, WY 82601-1325 |
| Lisa Lynne Love | Clinical Social Worker | 800 Werner Ct, Suite D, Casper, WY 82601-1326 | |
| Elizabeth K Brummett | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Sandra S Milliken | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Kelly L Shipley | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Patrice J Lichliter | Clinical Social Worker | Central Wyoming Counseling Center | 1430 Wilkins Cir, Casper, WY 82601-1336 |
| Find all physicians in zip 82601 | |||
| City | CASPER |
| Zip Code | 82601 |
| Specialty | UROLOGY |
| City + Specialty | CASPER + UROLOGY |
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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.