Stephen M Hansen (NPI# 1164491460, PAC ID# 9739149709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1164491460 |
| PAC ID by PECOS | 9739149709 |
| Professional Enrollment ID | I20121220000238 |
| Full Name | Stephen M Hansen |
| Organization Legal Name | IDAHO SPORTS AND SPINE PLLC |
| Address |
950 Hospital Way Suite A Pocatello ID 83201-2762 |
| Phone Number | 2084784522 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1999 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8426234345 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130028 | PORTNEUF MEDICAL CENTER |
| 131325 | BINGHAM MEMORIAL HOSPITAL |
| 131309 | CARIBOU MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 | 2084784522 | IDAHO SPORTS AND SPINE PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 99% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | IDAHO SPORTS AND SPINE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven L Nelson | Physician Assistant | Idaho Sports and Spine Pllc | 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 |
| Christopher R Johnson | Family Practice | Idaho Sports and Spine Pllc | 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 |
| Street Address |
950 HOSPITAL WAY SUITE A |
| City | POCATELLO |
| State | ID |
| Zip | 83201-2762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory M Ford | Orthopedic Surgery | Gregory M Ford Md Pllc | 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 |
| Tanner Darin Mitton | Physician Assistant | Gregory M Ford Md Pllc | 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 |
| Steven L Nelson | Physician Assistant | Idaho Sports and Spine Pllc | 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 |
| Christopher R Johnson | Family Practice | Idaho Sports and Spine Pllc | 950 Hospital Way, Suite A, Pocatello, ID 83201-2762 |
| 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 | ORTHOPEDIC SURGERY |
| City + Specialty | POCATELLO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Stephen M 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.