DR. EDWARD PAUL HAGEN (NPI# 1689671331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689671331 |
| Entity Type | Individual |
| Full Name | DR. EDWARD PAUL HAGEN |
| Credential | D.O. |
| Practice Address |
265 Griffin St E Amery WI 54001-1439 |
| Practice Telephone | 7152688000 |
| Practice Fax Number | 7152680311 |
| Mailing Telephone | 7152688000 |
| Mailing Fax Number | 7152680311 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 54529 | WI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 3890 | SD | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 02734 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861590846 | Edward Hagen Jr. | Dentist | 620 Southeast 160th Ave, Suite D, Portland, OR 97236 | 2006-09-21 |
| 1811359268 | Edward Robert Hagen | Student in an Organized Health Care Education/Training Program | 747 Broadway, Suite Ww- 739, Seattle, WA 98122-4379 | 2016-03-24 |
| 1093745515 | Edward M Hagen | Optometrist | 4 Garden Ctr, Suite 100, Broomfield, CO 80020-7026 | 2006-07-03 |
| Street Address |
265 GRIFFIN ST E |
| City | AMERY |
| State | WI |
| Zip Code | 54001-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164520 | Dylan Coe | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2005-06-16 |
| 1659927069 | Amery Regional Medical Center, Inc | Clinic/Center | 265 Griffin St E, Amery, WI 54001-1439 | 2019-08-12 |
| 1588223994 | Hannah Sons | Speech-Language Pathologist | 265 Griffin St E, Amery, WI 54001-1439 | 2019-06-10 |
| 1679050801 | Jennifer Mae Stuhr | Pharmacist | 265 Griffin St E, Amery, WI 54001-1439 | 2018-07-20 |
| 1629592431 | Tyler Bo Krings | Physical Therapist | 265 Griffin St E, Amery, WI 54001-1439 | 2017-08-02 |
| 1669994737 | Tami Jo Buus | Physical Therapist | 265 Griffin St E, Amery, WI 54001-1439 | 2017-07-11 |
| 1487174157 | Lisa Anne Erickson | Nurse Practitioner | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-23 |
| 1306376447 | Courtney Dahl | Family Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-06-12 |
| 1770010712 | Jon Heimler | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2017-05-22 |
| 1700339280 | Priya Sury | Emergency Medicine | 265 Griffin St E, Amery, WI 54001-1439 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124313424 | Heather Rose Marks | Dentist | 1030 Riverplace Drive, Amery, WI 54001 | 2011-06-14 |
| 1003142803 | Linda Christine Mueller | Counselor | 236 Griffin, Amery, WI 54001 | 2009-10-29 |
| 1952538548 | Samantha E. Kealey | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2009-06-22 |
| 1578753448 | Bethann M Monson | Occupational Therapy Assistant | 220 N Keller Avene, Amery, WI 54001 | 2007-07-27 |
| 1912109851 | Jill R. Ladwig | Physical Therapy Assistant | 220 Keller Avenue, Amery, WI 54001 | 2007-06-04 |
| 1376601674 | Nancy A Reinhardt | Occupational Therapist | 505 Keller Ave S, Amery, WI 54001 | 2006-12-05 |
| 1093873390 | Jessica L Bradford | Occupational Therapist | 505 Keller Ave Sq, Amery, WI 54001 | 2006-12-05 |
| 1548354244 | A Touch of Life Inc. | Chiropractor | 308 North Keller Avenue, Amery, WI 54001 | 2006-10-03 |
| 1568566057 | Douglas D Podoll Dds Dc | Dentist | 404 Wisconsin Ave, Amery, WI 54001 | 2006-09-12 |
| 1932469475 | Amy E. Stoesz | Emergency Medicine | 265 Griffin St. E., Amery, WI 54001 | 2012-05-17 |
| Find all providers in zip 54001 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508326562 | Trudy Malone | Obstetrics & Gynecology | N30w29293 Hillcrest Dr, Pewaukee, WI 53072-3235 | 2019-03-24 |
| 1114486990 | Claire Leone Wendland | Obstetrics & Gynecology | 1180 Observatory Dr, Madison, WI 53706-1320 | 2019-03-19 |
| 1407218894 | Caroline Eleonora Bednarski | Obstetrics & Gynecology | 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 | 2016-03-24 |
| 1992162929 | Hudson Physicians, S.c | Obstetrics & Gynecology | 1617 E Division St Ste 100, River Falls, WI 54022-1571 | 2016-01-21 |
| 1215324439 | Katherine Elizabeth Roberts | Obstetrics & Gynecology | 4655 N Port Washington Rd Ste 100, Glendale, WI 53212-1070 | 2015-04-26 |
| 1063809416 | Tyler Boschuetz | Obstetrics & Gynecology | 19475 W North Ave Ste 400, Brookfield, WI 53045-4199 | 2015-04-23 |
| 1548656168 | Ashley D. Durward | Obstetrics & Gynecology | 5801 Research Park Blvd Ste 400, Madison, WI 53719-6003 | 2015-04-09 |
| 1659766277 | Brandon Kuchta | Obstetrics & Gynecology | 8905 W Lincoln Ave Ste 501, West Allis, WI 53227-2470 | 2015-03-31 |
| 1194125534 | New Womens Care S C | Obstetrics & Gynecology | 855 South Main St., Oconto Falls, WI 54154 | 2014-09-03 |
| 1215348180 | Molly Kathleen Lepic | Obstetrics & Gynecology | 2402 Winnebago St # W, Madison, WI 53704-5341 | 2014-05-14 |
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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.