JEFF E HAGEN MD (NPI# 1326322991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326322991 |
Entity Type | Organization |
Organization Name | JEFF E HAGEN MD |
Practice Address |
301 Highway 71 W Suite 111 Bastrop TX 78602-4105 |
Practice Telephone | 5123040318 |
Practice Fax Number | 5123089649 |
Mailing Telephone | 5123040318 |
Mailing Fax Number | 5123089649 |
Enumeration Date | 2011-09-30 |
Last Update Date | 2011-09-30 |
Authorized Official Name | DR. JEFF E HAGEN (OWNER) |
Authorized Official Telephone | 5123040318 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G3424 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 041869104 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871833301 | Jeff E Hagen Md | Obstetrics & Gynecology | 18810 Hwy 290 E, Suite 100, Elgin, TX 78621-4240 | 2013-02-20 |
Street Address |
301 HIGHWAY 71 W SUITE 111 |
City | BASTROP |
State | TX |
Zip Code | 78602-4105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710965488 | Jeff E. Hagen | Specialist | 301 Highway 71 W, Suite 111, Bastrop, TX 78602-4105 | 2006-01-04 |
1538592233 | Jeff E. Hagen Md | Specialist | 301 Highway 71 W, Suite 111, Bastrop, TX 78602-4105 | 2013-08-16 |
1356774111 | John William Winkelhaus IIi | Physical Therapist | 301 Highway 71 W, Ste 106, Bastrop, TX 78602-4105 | 2013-08-15 |
1821434499 | Jeff E. Hagen Md | Clinic/Center | 301 Highway 71 W, Suite 111, Bastrop, TX 78602-4105 | 2013-05-22 |
1851544589 | Stanton Henry | Dentist | 301 Highway 71 W, Suite 201, Bastrop, TX 78602-4105 | 2008-10-26 |
1669624003 | Dustin Daniel Roden-johnson | Dentist | 301 Highway 71 W, Suite 201, Bastrop, TX 78602-4105 | 2008-10-16 |
1710149232 | Nathan John Brewerton | Physical Therapist | 301 Highway 71 W, Suite 106, Bastrop, TX 78602-4105 | 2008-06-26 |
1417122490 | Curtis Glenn Mcdonald | Dentist | 301 Highway 71 W, Suite102, Bastrop, TX 78602-4105 | 2008-04-29 |
1508084294 | Ortho 360, LLP | Dentist | 301 Highway 71 W, Suite 201, Bastrop, TX 78602-4105 | 2007-04-20 |
1184707069 | Cynthia Hodgins | Nurse Practitioner | 301 Highway 71 W, Suite 110, Bastrop, TX 78602-4105 | 2006-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467076489 | Eve Barton | Counselor | 1368 Farm-to-market Road, Bastrop, TX 78602 | 2020-06-05 |
1679030365 | Pompeyo C. Chavez, M.d., Pllc | Family Medicine | 3101 Hwy 71e, Suite 100, Bastrop, TX 78602 | 2019-02-28 |
1477025815 | Anna Slavinsky | Pharmacist | 504 State Highway 71 W, Bastrop, TX 78602 | 2018-12-26 |
1770076689 | Frontier Radiology | Clinic/Center | 3101 Highway 71e Suite 108, Bastrop, TX 78602 | 2018-06-14 |
1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
1598286148 | Roadrunner Ultrasound Equipment, LLC | Physiological Laboratory | 704 Hwy 71 W. Ste C300, Bastrop, TX 78602 | 2017-07-05 |
1093252611 | Bastrop Modern Dentistry,pc | Dentist | 1670 Hwy 71 E, Suite A, Bastrop, TX 78602 | 2017-01-20 |
1619426301 | Josie Cedillo | Social Worker | 1011 Alley A, Bastrop, TX 78602 | 2016-09-23 |
1235508565 | Bonnie Jean Kemnitz | Veterinarian | 2900 Tx-95 North, Bastrop, TX 78602 | 2015-09-16 |
1457749558 | Rudy Torres Jr. | Occupational Therapy Assistant | 140 Nanakuli Drive, Bastrop, TX 78602 | 2014-12-26 |
Find all providers in zip 78602 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497871164 | Northeast Louisiana Gynecology Clinic, Apmc | Obstetrics & Gynecology | 618 S Washington St, Bastrop, LA 71220-5035 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129458 | Bloom Gynecology LLC | Obstetrics & Gynecology | 3540 E Broad St # 262, Mansfield, TX 76063-5633 | 2020-09-21 |
1861003170 | North Texas Cosmetic Surgery, LLC | Obstetrics & Gynecology | 4401 Coit Rd Ste 205, Frisco, TX 75035-0504 | 2020-08-11 |
1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
1851745459 | Holly Eliason | Obstetrics & Gynecology | 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 | 2016-04-20 |
1861807968 | Ruby L Holloway, M.d.p.a | Obstetrics & Gynecology | 710 S 8th St Ste B, Beaumont, TX 77701-4634 | 2014-06-26 |
1851731319 | Annabelle Lopez M.d., P.a. | Obstetrics & Gynecology | 913 S Airport Dr Ste 201, Weslaco, TX 78596-6629 | 2013-06-28 |
1679815286 | Andrew Gene Dillard | Obstetrics & Gynecology | 1717 Weiskopf Dr, Heath, TX 75032-7749 | 2013-03-21 |
1689916553 | Peter K Thompson | Obstetrics & Gynecology | 307 Fall River Ct, Houston, TX 77024-5611 | 2013-03-19 |
1003158916 | Robert J Morrow | Obstetrics & Gynecology | 2202 Running Springs Dr, Kingwood, TX 77339-3125 | 2013-03-19 |
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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.