KEVIN M HAGAN (NPI# 1659347896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659347896 |
| Entity Type | Individual |
| Full Name | KEVIN M HAGAN |
| Credential | CRNP |
| Practice Address |
1200 Old York Rd 5 Toll Abington PA 19001-3720 |
| Practice Telephone | 2154814200 |
| Practice Fax Number | 2158819587 |
| Mailing Telephone | 2154814200 |
| Mailing Fax Number | 2158819587 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP008480 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PW | MAIN LINE HEALTHCARE | 232359401 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861591208 | Kevin Hagan | Plastic Surgery | 3601 Tvc, Nashville, TN 37232-0001 | 2006-09-22 |
| 1659488153 | Kevin Michael Hagan | Counselor | 2613 W Marine View Dr, Everett, WA 98201-3420 | 2006-08-23 |
| Street Address |
1200 OLD YORK RD 5 TOLL |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204276 | Peter J Vacca | Specialist | 1200 Old York Rd, Abington, PA 19001-3720 | 2005-06-01 |
| 1669070983 | India Tollini | Registered Nurse | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-10-09 |
| 1831700376 | Alison Ann Hollingsworth | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-08-10 |
| 1942820725 | Karie Kula | Radiology | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-21 |
| 1497374110 | Dean Yehoshua Granot | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-13 |
| 1073132130 | Emma Lilia Galarza Beltran | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-09 |
| 1598384638 | Alan Bui | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-09 |
| 1336778620 | Brett Arsenio Johnson | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3788 | 2020-04-07 |
| 1336778786 | Jacqueline Dipietro | Physical Therapist | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-07 |
| 1639708787 | Mariya Khan | Student in an Organized Health Care Education/Training Program | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326510702 | Mollie Baker | Nurse Practitioner | 1200 Old York Rd Ofc, Abington, PA 19001-3720 | 2018-12-22 |
| 1831700376 | Alison Ann Hollingsworth | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2020-08-10 |
| 1235775230 | Elisabetta Spadafora | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2019-11-25 |
| 1609412881 | Donna Piotrowicz | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2019-11-21 |
| 1649813510 | Ryan Lamont Clikeman | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2019-10-23 |
| 1982161303 | Christine Angela Sherk | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2019-02-21 |
| 1558833541 | Sherry Kessler | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2019-01-02 |
| 1295246189 | Lisa R Griffin | Nurse Practitioner | 1200 Old York Rd Fl 5, Abington, PA 19001-3720 | 2017-10-18 |
| 1033575287 | Patricia Bussinger | Nurse Practitioner | 1200 Old York Rd, Abington, PA 19001-3720 | 2016-01-04 |
| 1740540251 | Kelly Applebaum | Nurse Practitioner | 1200 Old York Rd, 5 Toll, Abington, PA 19001-3720 | 2012-05-18 |
| Find all providers in ABINGTON | ||||
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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.