NPI age
19 years
Enumerated 2006-06-02
● Active
Type 1 · Individual
DR. Dwayne M Hansen, M.D.
Hansen is 1 of 9 surgery providers in Rexburg and 1 of 260 in Idaho.
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org
How this provider compares
Across 260 active surgery providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
381 East 4th North, Ste 100
Rexburg, ID 83440
Mailing address
Po Box 185
Rexburg, ID 834400185
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 48488 | BLUE CROSS OF IDAHO |
| 01 (ID) | CS9440 | IDAHO STATE BOARD OF PHAR |
| 01 (ID) | M8427 | IDAHO STATE LICENSE |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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