KIMBERLEY J HANSEN MD NPI 1467438085

NPI Information

NPI: 1467438085
Provider Name: KIMBERLEY J HANSEN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

Kimberley J Hansen, MD is a vascular surgery surgery in Winston Salem, NC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Kimberley J Hansen, MD NPI is 1467438085. 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:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255
Fax: (336) 716-6637

The enumeration date for this NPI number is 12/15/2005 and was last updated on 11/12/2010.

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	208600000X	Surgery		25592	NORTH CAROLINA	No
2	2086S0102X	Surgery	Surgical Critical Care	25592	NORTH CAROLINA	No
3	2086S0129X	Surgery	Vascular Surgery	25592	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q25592	MEDICAID	SOUTH CAROLINA
2	39084	OTHER		BCBS
3	2069955A	MEDICARE PIN	NORTH CAROLINA
4	7323158	MEDICAID	VIRGINIA
5	8939084	MEDICAID	NORTH CAROLINA
6	4418530	OTHER		AETNA
7	24930	OTHER		MEDCOST
8	11647	OTHER		PARTNERS
9	C84313	MEDICARE UPIN
10	195448000	MEDICAID	WEST VIRGINIA

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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