Provider Demographics
NPI:1083691893
Name:DRANSFELD, HANS GERHARD (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:GERHARD
Last Name:DRANSFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:RADIOLOGY INC
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25712-0910
Mailing Address - Country:US
Mailing Address - Phone:304-522-1550
Mailing Address - Fax:304-522-1073
Practice Address - Street 1:5221 US ROUTE 60 E
Practice Address - Street 2:RADIOLOGY INC
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2022
Practice Address - Country:US
Practice Address - Phone:304-522-1550
Practice Address - Fax:304-522-0704
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV161252085R0202X
KY315242085R0202X
OH35-080583-D2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
001718773OtherMTN STATE BC BS
KY50007248OtherPASSPORT
WV300021805OtherRR MEDICARE (WV)
WV550493376 00OtherWORKMANS COMP
OH0797606Medicaid
4502391OtherAETNA
OH000000091296OtherUNISON
WV0118354000Medicaid
KY6469840000Medicaid
OH0797606Medicaid
KY6469840000Medicaid
OH0677412Medicare PIN