Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott Andrew Hanson, PAC

Individual provider Physician Assistant · NPI 1457666752

Scott Andrew Hanson, PAC is a Physician Assistant in Salt Lake City, Utah. Licensed in New Mexico. Registered with an NPI since 2010.

Licensed in
NM
In the registry since
2010
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

565 Komas Dr
Salt Lake City, UT 84108
Phone: (801) 584-5144
Fax: (801) 584-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2010-0037 (NM)
Physician Assistant Taxonomy 363A00000X · Licence PA2010-0037 (NM)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2010-0037 (NM)

Record details

NPI number1457666752
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 11, 2010
Last updated in NPPESFebruary 14, 2019

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