GARY A HANSON MD INC NPI 1619038213

NPI Information

  • NPI: 1619038213
  • Provider Name: GARY A HANSON MD INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2619 PENNSYLVANIA AVE
    SUITE 2
    WEIRTON, WV
    ZIP 26062
  • Phone: (304) 723-0200

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NPI Details

GARY A HANSON MD INC is a specialist in Weirton, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GARY A HANSON MD INC NPI is 1619038213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2619 PENNSYLVANIA AVE
SUITE 2
WEIRTON, WV
ZIP 26062-752
Phone: (304) 723-0200
Fax: (304) 723-0210

The provider's authorized official is Gary A Hanson .
The authorized official title is President and has the following contact phone number (304) 723-0200.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/24/2010.

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
1174400000XSpecialist12678WEST VIRGINIAYes

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
10496771MEDICARE PINWEST VIRGINIA
20071764000MEDICAIDWEST VIRGINIA
3A72138MEDICARE UPINWEST 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: 11/21/2025

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