Dr. Adam J Hansen
Surgeon Cardiothoracic Vascular Surgeon
527 Medical Park Dr Ste 205
Bridgeport
, West Virginia 26330-9009
Dr. Adam J Hansen
Surgeon Cardiothoracic Vascular Surgeon
527 Medical Park Dr Ste 205
Bridgeport
, West Virginia 26330-9009
(800) 541-4009
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Adam J Hansen
- 2673 Davisson Run Rd Ste 303
- Clarksburg, WV
- Zip : 26301-7640
- Phone : (800) 541-4009
Second Address
- Dr. Adam J Hansen
- 527 Medical Park Dr Ste 205
- Bridgeport, WV
- Zip : 26330-9009
- Fax : (304) 842-9422
- Phone : (681) 342-3730
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 28899 | AZ |
| N | 208600000X | Surgeon | 28899 | AZ |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 25201 | WV |
National Provider Identifier
| NPI | 1134193840 |
|---|---|
| Provider Name | Dr. Adam J Hansen |
| First Address | Clarksburg, WV 26301-7640 |
| Second Address | Bridgeport, WV 26330-9009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 08/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 812976 | (05) | AZ |
| H96074 | (02) | |
| WV2677A | MEDICARE PTAN (01) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.