SCOTT ANDREW HANSON PAC NPI 1457666752

NPI Information

NPI: 1457666752
Provider Name: SCOTT ANDREW HANSON, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
565 KOMAS DR.
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 584-5144
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Scott Andrew Hanson, PAC is a medical physician assistant in Salt Lake City, UT. Scott Andrew Hanson, PAC NPI is 1457666752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

565 KOMAS DR.
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 584-5144
Fax: (801) 584-5206

The NPI 1457666752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2010 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA2010-0037	NEW MEXICO	No
2	363AM0700X	Physician Assistant	Medical	PA2010-0037	NEW MEXICO	Yes
3	363AS0400X	Physician Assistant	Surgical	PA2010-0037	NEW MEXICO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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