PHILLIP F. HAGAN (NPI# 1013955053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013955053 |
| Entity Type | Individual |
| Full Name | PHILLIP F. HAGAN |
| Credential | MD |
| Practice Address |
2778 N Webb Rd Wichita KS 67226-8112 |
| Practice Telephone | 3166311600 |
| Practice Fax Number | 3166311676 |
| Mailing Telephone | 3166311600 |
| Mailing Fax Number | 3166311676 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
04-22644 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PREFERRED HEALTH SYSTEMS | 00S6749 | 01 |
| KS | BLUE SHIELD | 103800 | 01 |
| KS | 200265750A | 05 | |
| RR MEDICARE | P00158947 | 01 | |
| KS | FIRST GUARD | 359811 | 01 |
| Street Address |
2778 N WEBB RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-8112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414890 | John R Schurman II | Orthopaedic Surgery | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2005-11-18 |
| 1063073369 | Jacob Elpers | Specialist/Technologist | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2019-06-26 |
| 1114402765 | Joseph Schmidt | Specialist/Technologist | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2018-09-29 |
| 1679008361 | Kayla Demel | Specialist/Technologist | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2017-05-01 |
| 1992108443 | K.c. Lowrance Clark | Registered Nurse | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2014-09-29 |
| 1447662135 | Troy Benjamin Frick | Physician Assistant | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2014-05-29 |
| 1669884946 | Scott C Adrian | Orthopaedic Surgery | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2014-05-21 |
| 1396155818 | Jordan Leigh Darr | Physician Assistant | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2014-05-06 |
| 1679910285 | George Stephen Granberry Iv | Physician Assistant | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2013-05-23 |
| 1629414008 | Thomas Joseph Hendricks | Orthopaedic Surgery | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2013-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088200 | Christopher D Miller | Orthopaedic Surgery | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056400 | Benedictine College | Orthopaedic Surgery | 1020 N 2nd St Rm 103, Atchison, KS 66002-1402 | 2017-07-19 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1306982236 | Kansas University Physicians Inc | Orthopaedic Surgery | G022 Robinson Hall, Mail Stop 3017 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1932281714 | Christopher Cullen Eckland | Orthopaedic Surgery | 4940 W 137th St Ste B, Leawood, KS 66224-3633 | 2006-10-20 |
| 1972683548 | John G Yost Jr. | Orthopaedic Surgery | 307 N Hospital Dr Ste 3, Girard, KS 66743-2047 | 2006-10-17 |
| 1003809161 | Southeast Kansas Orthopedics & Sports Medicine | Orthopaedic Surgery | 321 East Main, Chanute, KS 66720 | 2005-08-24 |
| 1447872346 | Elite Spine Care of Kansas City, LLC | Orthopaedic Surgery | 4911 W 87th Ter, Prairie Village, KS 66207-2271 | 2020-05-13 |
| 1952947939 | Providence Medical Group | Orthopaedic Surgery | 8919 Parallel Pkwy Ste 555, Kansas City, KS 66112-3628 | 2019-11-25 |
| 1558881433 | Nathan Daniel Kasting | Orthopaedic Surgery | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2017-06-22 |
| 1861810137 | Brittany Joie Moore | Orthopaedic Surgery | 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 | 2014-04-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.