Individual provider · Type 1 NPI

Jason Matthew Hanson, MD

Otolaryngology Physician · Bridgeton, MO

NPI number 1063522597 Active

Practice location

12255 De Paul Dr Ste 470
Bridgeton, MO 63044-2515

Fax (314) 291-0838

Mailing address

PO Box 14369
St. Louis, MO 63178-4369

Other practice locations

  • 2992 Highway K, O Fallon, MO 63368-7861 · (636) 379-6005

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X103004 (MO)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1063522597

Jason Matthew Hanson, MD's National Provider Identifier is 1063522597, issued on Aug 30, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 5, 2026.