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

Theodore J Hanson, MD

Individual provider Diagnostic Radiology Physician · NPI 1417211483

Theodore J Hanson, MD is a Diagnostic Radiology in Austin, Minnesota. Qualified in 2012, 14 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
14
Licensed in
MN, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 1st Dr NW
Austin, MN 55912-2941
Phone: (507) 433-7351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 56567 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 68648-20 (WI)

Record details

NPI number1417211483
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2012
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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