NPI age
4 years
Enumerated 2022-03-15
● Active Type 2 · Organization
Max Hansen Surgery Pllc
Max Hansen Surgery Pllc is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hansen
Doctor Of Osteopath - Surgeon
Last NPPES update
2022-03-15
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
381 E 4th N Ste 100
Rexburg, ID 834401684
Mailing address
Po Box 185
Rexburg, ID 834400185
Authorized official
Dwayne Maxwell Hansen, DO
Doctor Of Osteopath - Surgeon
📞 2086568442
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Dwayne Hansen, DO Surgery NPI 1871013938
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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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