Healthcare Provider Details

I. General information

NPI: 1740609502
Provider Name (Legal Business Name): AARON STANSBURY HESS MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 BLACKHAWK DR
MADISON WI
53705-1408
US

IV. Provider business mailing address

3602 BLACKHAWK DR
MADISON WI
53705-1408
US

V. Phone/Fax

Practice location:
  • Phone: 301-938-9069
  • Fax:
Mailing address:
  • Phone: 301-938-9069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number65117-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number65117-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: