MR. GARY PAUL HANSEN MD NPI 1073515631

NPI Information

  • NPI: 1073515631
  • Provider Name: MR. GARY PAUL HANSEN, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 1609 PHYSICIANS DR
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 878-1171

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NPI Details

MR. Gary Paul Hansen, MD is a nephrology internal medicine in Tallahassee, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MR. Gary Paul Hansen, MD NPI is 1073515631. 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:

1609 PHYSICIANS DR
TALLAHASSEE, FL
ZIP 32308-620
Phone: (850) 878-1171
Fax: (850) 942-1291

The enumeration date for this NPI number is 8/12/2005 and was last updated on 5/21/2013.

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
1207RN0300XInternal MedicineNephrologyME32434FLORIDAYes

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
187244ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2036688900MEDICAIDFLORIDA
3D54595MEDICARE UPIN

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: 3/30/2025

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