Dr. Reid H. Hansen, M.D.
Surgery in Peoria, IL. Individual provider (NPI-1).
NPI number1861490260
StatusActive
Last updated in NPPESNov 24, 2009
Details
- NPI
- 1861490260
- Entity type
- Individual (NPI-1)
- Name
- Dr. Reid H. Hansen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2005
- Last updated
- Nov 24, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036-064366 | IL | Yes |
Practice location
900 Main StSuite 500
Peoria, IL 61602-1005
Phone 309-637-3500 · Fax 309-637-3507
Mailing address
900 Main StSuite 500
Peoria, IL 61602-1005
Phone 309-637-3500 · Fax 309-637-3507
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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