Lisa A Hansen (NPI# 1730372756, PAC ID# 8628165206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1730372756 |
| PAC ID by PECOS | 8628165206 |
| Professional Enrollment ID | I20071029000574 |
| Full Name | Lisa A Hansen |
| Organization Legal Name | POCATELLO HEALTH SERVICES LLC |
| Address |
444 Hospital Way Suite 777 Pocatello ID 83201-2744 |
| Phone Number | 2082391650 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6608927637 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 444 Hospital Way, Suite 777, Pocatello, ID 83201-2744 | 2082391650 | POCATELLO HEALTH SERVICES LLC |
| 777 Hospital Way, Pocatello, ID 83201-5175 | POCATELLO HEALTH SERVICES LLC |
| Organization Legal Name | POCATELLO HEALTH SERVICES LLC |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn T Allman | Hospitalist | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| David M Gonzalez | Interventional Cardiology | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Janet Lynn Otto | Cardiac Electrophysiology | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Terrence M Rager | General Surgery | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Kimberly Tverdy | Physician Assistant | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Ignacio Morales Carillo | Internal Medicine | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Makenzi M Gwinn | Qualified Audiologist | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Jacob S Delarosa | Cardiac Surgery | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Hannah Caulfield | General Practice | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Yolanda Rodriguez Valdivia | Family Medicine | Pocatello Health Services LLC | 777 Hospital Way, Pocatello, ID 83201-5175 |
| Street Address |
444 HOSPITAL WAY SUITE 777 |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Tufts Sulik | Registered Dietitian Or Nutrition Professional | Rocky Mountain Diabetes and Osteoporosis Center Pa | 444 Hospital Way, Suite 611, Pocatello, ID 83201-2744 |
| Ryan Ned Miller | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Jeffrey D Stucki | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Kelly A Lind | Clinical Social Worker | Portneuf Valley Family Center | 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744 |
| Naeem Rahim | Nephrology | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Anne Marie Crosser | Occupational Therapy | Hand and Upper Extremity Center Inc | 444 Hospital Way, Suite 720, Pocatello, ID 83201-2745 |
| Liva Michelle Rigney-cox | Psychologist, Clinical | Portneuf Valley Family Center | 444 Hospital Way, Suite 477, Pocatello, ID 83201-2744 |
| Vermon Esplin | Orthopedic Surgery | Idaho Regional Hand and Upper Extremity Center Pllc | 444 Hospital Way, Suite 710, Pocatello, ID 83201-2717 |
| Hira B Siktel | Internal Medicine | Idaho Kidney Institute LLP | 444 Hospital Way, Suite 607, Pocatello, ID 83201-2714 |
| Julio C Vasquez | Thoracic Surgery | Pocatello Health Services LLC | 444 Hospital Way, Suite 777, Pocatello, ID 83201-2744 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | POCATELLO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lisa 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.