Dwayne M. Hansen MD PLLC
NPI 1114024650ActiveOrganization· Surgery· Rexburg, ID
Surgery in Rexburg, Idaho, registered in NPPES in September 2006. The authorized official on file is Dwayne M. Hansen, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114024650 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2006 |
| Last updated in NPPES | Dec 6, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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