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Physician Compare National (NPI:1275649774)

HEALTHCARE PROVIDER: WILLIAM EDWARD HANSON D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1275649774
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0547284713
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060116000339
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HANSON
Individual professional last name
Provider First Name WILLIAM
Individual professional first name
Provider Middle Name EDWARD
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DPM
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1982
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name WINONA HEALTH SERVICES
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8527977420
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 102
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 420 E SARNIA ST
Group Practice or individual's line 1 address
City WINONA
Group Practice or individual's city
State MN
Group Practice or individual's state
Zip Code 559876365
Group Practice or individual's zip code (9 digits when available)
Phone Number 5074747830
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 240044
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 WINONA HEALTH SERVICES
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 520087
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 GUNDERSEN LUTHERAN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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