DR. RICHARD MORRIS HANSEN MD
NPI 1164496162
Internal Medicine - Hematology & Oncology in Oconomowoc, WI
NPI Status: Active since February 15, 2006
Contact Information
791 SUMMIT AVE
PROHEALTH CARE REGIONAL CANCER CENTER
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 569-0554
- Individual
- Male
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 52D0388536
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-08-2025
About RICHARD HANSEN
This page provides the complete NPI Profile along with additional information for Richard Hansen, an internist established in Oconomowoc, Wisconsin with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1164496162 assigned on February 2006. The practitioner's primary taxonomy code is 207RH0003X with license number 19046 (WI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1164496162
- Provider Name
- DR. RICHARD MORRIS HANSEN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 791 SUMMIT AVE PROHEALTH CARE REGIONAL CANCER CENTER OCONOMOWOC, WI 53066
- Location Phone
- (262) 569-0554
- Mailing Address
- 915 KURTIS DR ELM GROVE, WI 53122
- Mailing Phone
- (262) 797-8566
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-15-2006
- Last Update Date
- 03-27-2012
- Code Navigator
An internist like Richard Hansen is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 19046
- License State
- WI
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 683750389 | MEDICARE PIN (08) | ||
| B53386 | MEDICARE UPIN (02) | ||
| 30144000 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0388536
- Facility Type
- Physician Office
- Certificate Effective Date
- December 09, 2023
- Certificate Expiration Date
- December 08, 2025
- Laboratory Director
- DR. RICHARD E. NEILS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Richard Hansen after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 4 | 9 | 6 | 1 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 8 | 9 | 12 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 8 + 9 + 1 + 2 + 1 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1164496162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063407013 | THOMAS RUFFALO PA Individual | Physician Assistant | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 569-9119 |
| 1114066719 | DR. TERRENCE J GAYNOR M.D. Individual | Anesthesiology | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 569-9400 |
| 1366420531 | PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC. Organization | General Acute Care Hospital | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 928-2510 |
| 1184612749 | LAKE COUNTRY PHARMACY Organization | Pharmacist | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 569-0284 |
| 1265075824 | ELIZABETH KASPAREK MS, RD, CSSD, CD Individual | Dietitian, Registered | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 569-0297 |
| 1982797312 | PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC. Organization | Pharmacy (Institutional Pharmacy) | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 569-0471 |
| 1023790664 | EVGENIYA KHEN NP Individual | Nurse Practitioner (Acute Care) | 791 SUMMIT AVE OCONOMOWOC, WI 53066 (262) 569-9400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164496162, enumerated in the NPI registry as an "individual" on February 15, 2006
The provider is located at 791 Summit Ave Prohealth Care Regional Cancer Center Oconomowoc, Wi 53066 and the phone number is (262) 569-0554
The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0388536 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.