MEDICARE: PETER A HANSON MD

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
1	207Q00000X	Family Medicine Physician	13177	NV
2	207QS0010X	Sports Medicine (Family Medicine) Physician	13177	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1942256169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER A HANSON MD

Provider Business Mailing Address
First Line	:	590 MCDONALD DR
Second Line	:
City	:	INCLINE VILLAGE
State	:	NV
Zip	:	89451-9133
Country	:	US
Telephone Number	:	612-384-8891
Fax Number	:

Provider Business Practice Location Address
First Line	:	930 TAHOE BLVD
Second Line	:	SUITE 207
City	:	INCLINE VILLAGE
State	:	NV
Zip	:	89451-9451
Country	:	US
Telephone Number	:	775-833-2929
Fax Number	:	775-833-0277

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	02/24/2017

Similar Medicare Providers

1952411621 — RALEYS
Practice Location Address:

930 TAHOE BLVD
INCLINE VILLAGE, NV
89451-9451

Practice Phone: 775-831-3111
Practice Fax:

1154758407 — ROBERT OLOROSO PHARMD
Practice Location Address:

930 TAHOE BLVD
INCLINE VILLAGE, NV
89451-9451

Practice Phone: 775-831-3111
Practice Fax: 775-831-9116

1972914604 — YVONNE COSTELLO
Practice Location Address:

930 TAHOE BLVD
INCLINE VILLAGE, NV
89451-9451

Practice Phone: 775-831-3111
Practice Fax: 775-831-9116

1982929956 — SHANTA SUBDHAN
Practice Location Address:

9451 SPRINGFIELD BLVD
QUEENS VILLAGE, NY
11428-2129

Practice Phone: 516-314-1321
Practice Fax:

1992700819 — MR. ALAN W ANDERSEN BS PHARM
Practice Location Address:

898 TANAGER ST , IN CARE OF VILLAGE COMPOUNDING PHARMACY
INCLINE VILLAGE, NV
89451

Practice Phone: 775-831-1133
Practice Fax: 775-831-2228

1427027077 — MICHAEL B MACQUARRIE MD INC
Practice Location Address:

880 ALDER AVE
INCLINE VILLAGE, NV
89451-8335

Practice Phone: 530-582-3220
Practice Fax:

Directions to “ PETER A HANSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.