DAVID K HAGEDORN (NPI# 1346283892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346283892 |
| Entity Type | Individual |
| Full Name | DAVID K HAGEDORN |
| Credential | M.D. |
| Practice Address |
3315 Mcintosh Cir Joplin MO 64804-3649 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173474800 |
| Practice Fax Number | 4173474033 |
| Mailing Telephone | 4173474800 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2002019238 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2002019238 | MO | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
2002019238 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208358606 | 05 | |
| OK | 100846000A | 05 | |
| KS | 100424830D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528075058 | David Charles Hagedorn | Dentist | 340 Fairfield Ave, Bellevue, KY 41073-1010 | 2006-08-01 |
| 1922078369 | David J Hagedorn | Family Medicine | 2101 Kimball Avenue, Suite 401, Waterloo, IA 50702 | 2006-01-26 |
| 1992906747 | David William Hagedorn | Clinical Neuropsychologist | 100 Brewster Blvd, Naval Hospital - Family Medicine, Camp Lejeune, NC 28547 | 2007-05-30 |
| Street Address |
3315 MCINTOSH CIR |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164537643 | Anisa Hassan | Internal Medicine | 3315 Mcintosh Cir, Joplin, MO 64804-3649 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407963705 | Donald R Cotton | Preventive Medicine | 3315 Mcintosh Circle, Joplin, MO 64804-3649 | 2006-08-23 |
| 1649213190 | Joseph A. Newman | Preventive Medicine | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275679367 | Julie A. Anderson, Inc. | Preventive Medicine | 2507 Abbey Rd, Cape Girardeau, MO 63701-1506 | 2007-01-29 |
| 1033213665 | Levy Hyperbaric and Wound Care Specialists, LLC. | Preventive Medicine | 111 Saint Lukes Center Dr Ste 10b, Chesterfield, MO 63017-3509 | 2006-09-12 |
| 1083723944 | William Michael Duff | Preventive Medicine | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2006-08-30 |
| 1346359577 | Sion Levy | Preventive Medicine | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2006-08-30 |
| 1902829823 | John Patrick Kirby IIi | Preventive Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2006-07-25 |
| 1659391332 | Julie Alm Anderson | Preventive Medicine | 10012 Kennerly Rd, Suite 406, Saint Louis, MO 63128-2197 | 2006-07-19 |
Please comment or provide details below to improve the information on DAVID K HAGEDORN.
| 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.