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NPI Code Detail

MEDICARE: CHAD HANSON D.O.

MEDICARE: CHAD HANSON D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician5224OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22G4537OTHEROKMEDICARE
37B7340OTHEROKMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649561713
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD HANSON D.O.
Provider Business Mailing Address
First Line : 5310 E 31ST ST STE 13
Second Line :
City : TULSA
State : OK
Zip : 74135-5013
Country : US
Telephone Number : 918-561-5701
Fax Number : 918-561-1173
Provider Business Practice Location Address
First Line : 744 W 9TH ST FL 1
Second Line :
City : TULSA
State : OK
Zip : 74127-9907
Country : US
Telephone Number : 918-631-8877
Fax Number : 918-631-8875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 05/19/2025

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Directions to “ CHAD HANSON D.O.” Practice Location

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