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MID AMERICA NEUROSPINE LLC NPI 1962661736


NPI Information

NPI: 1962661736
Provider Name: MID AMERICA NEUROSPINE LLC

Other Name: E JEROME HANSON MD

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5701 W 119TH ST
SUITE 331
OVERLAND PARK, KS
ZIP 66209
Phone: (913) 851-2919
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MID AMERICA NEUROSPINE LLC is a specialist in Overland Park, KS. 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. MID AMERICA NEUROSPINE LLC NPI is 1962661736. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is E Jerome Hanson Md.

The provider's business location address is:

5701 W 119TH ST
SUITE 331
OVERLAND PARK, KS
ZIP 66209-721
Phone: (913) 851-2919

The provider's authorized official is Ernest Jerome Hanson .
The authorized official title is Owner/physician and has the following contact phone number (913) 851-2919.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 11/18/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist04-16128KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1060060027OTHERMEDICARE RAILROAD #
2P160000MEDICARE PINKANSAS
302119079OTHERBCBS
4D17381MEDICARE UPIN
527321011OTHERGROUP BCBS#
6P163279OTHERKANSASMEDICARE INDIVIDUAL P163279

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

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