Max Hansen Surgery PLLC
NPI 1497403760ActiveOrganization· Surgery· Rexburg, ID
Surgery in Rexburg, Idaho, registered in NPPES in March 2022. The authorized official on file is Dwayne Maxwell Hansen, DO, Doctor Of Osteopath - Surgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497403760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2022 |
| Last updated in NPPES | Mar 15, 2022 |
| Certified by provider | Mar 15, 2022 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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