MATTHEW HAGEN


Address: Sammc Im Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504
Phone: 2102925077

MATTHEW HAGEN (NPI# 1295231017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295231017
Entity Type Individual
Full Name MATTHEW HAGEN
Credential DO
Practice Address Sammc Im Residency, 3551 Roger Brooke Dr.
Jbsa-fort Sam Houston
San Antonio
TX 78234-4504
Practice Telephone 2102925077
Practice Fax Number 2102927868
Mailing Telephone 2102925077
Mailing Fax Number 2102927868
Enumeration Date 2018-04-02
Last Update Date 2019-09-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 0102205848 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MATTHEW HAGEN

NPI Name Taxonomy Address Enumeration
1447411251 Matthew Carlisle Hagen Pathology 234 Goodman St, Cincinnati, OH 45219-2364 2008-06-24

Office Location

Street Address SAMMC IM RESIDENCY, 3551 ROGER BROOKE DR.
JBSA-FORT SAM HOUSTON
City SAN ANTONIO
State TX
Zip Code 78234-4504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255942884 Thomas Ballas Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 2020-08-17
1124657366 Wendy Harris Pharmacist 3041 Garden Ave, Fort Sam Houston, TX 78234 2020-04-08
1215564729 Travis Frantz Student in an Organized Health Care Education/Training Program 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 2020-03-25
1508492695 Matthew Grossmann Student in an Organized Health Care Education/Training Program San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 2020-03-20
1235793407 Jessica Maria May Franklin Student in an Organized Health Care Education/Training Program 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 2019-04-23
1730663477 Glen Snyder Military Health Care Provider 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 2018-09-19
1265919336 Ashley Elizabeth Malawey Military Health Care Provider 3222 Cpl Johnson Road, San Antonio, TX 78234 2018-07-23
1053805515 Rene Espinosa Social Worker San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 2018-06-19
1235622333 Melanie Edith Rivera Military Health Care Provider 3600 Roger Brooke Drive, San Antonio, TX 78234 2018-06-13
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1720600778 Cano Health Texas Pllc General Practice 7031 Marbach Rd, San Antonio, TX 78227-1911 2020-05-13
1962056762 Medexpress Primary Care Texas, P.a. General Practice 6200 Northwest Pkwy, San Antonio, TX 78249-3348 2019-07-30
1063909158 Benjamin Walker Appelo General Practice San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 2018-04-16
1881197945 Caitlin Leigh Castle General Practice Uthscsa Dept. of Psychiatry, 7703 Floyd Curl Drive, Mail Code 7792, San Antonio, TX 78229-3900 2018-03-15
1710480025 Patrick Richard Notini General Practice 7703 Floyd Curl Dr, Mail Code 7792, San Antonio, TX 78229-3900 2018-03-13
1316477821 San Antonio Weightloss LLC General Practice 11212 State Highway 151 Ste 210, San Antonio, TX 78251-4501 2017-06-16
1336675396 Morgan S Hardy General Practice 7703 Floyd Curl Dr. Rm 717.f4, Department of Psychiatry, San Antonio, TX 78229-3900 2017-05-11
1730542853 Sylvester Luu General Practice San Antonio Military Medical Center Mche-zdm-m Internal, Medicine, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 2016-04-05
1013384866 Klarisana Physician Services Pllc General Practice 8600 Wurzbach Rd Ste 1110, San Antonio, TX 78240 2015-08-27
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Competitor

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City SAN ANTONIO
Zip Code 78234

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Dataset Information

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.

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