RICHARD HAGEMAN (NPI# 1730519315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730519315 |
| Entity Type | Individual |
| Full Name | RICHARD HAGEMAN |
| Credential | RDCS, RVT |
| Practice Address |
1700 S Lincoln Ave Lebanon PA 17042-7529 |
| Mailing Address |
825 Atwater Ave Circleville OH 43113-1341 |
| Practice Telephone | 7172726621 |
| Practice Fax Number | 7172285925 |
| Mailing Telephone | 7406010712 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
117668 | OH | Technologists, Technicians & Other Technical Service Providers |
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
117668 | OH | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762278 | Richard S Hageman | Physical Therapist | 22715 Washington Street, Leonardtown, MD 20650 | 2005-09-29 |
| Street Address |
1700 S LINCOLN AVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680015 | Michael L Heck Jr. | Nurse Anesthetist, Certified Registered | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2005-09-22 |
| 1972115806 | Carolyn L Ringler | Registered Nurse | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-21 |
| 1962014225 | Tracy Lukasiewicz | Optometrist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-18 |
| 1821609512 | Ida Frances Carvell | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-14 |
| 1134730153 | Brandon Cory Vanderbrook | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-13 |
| 1588275671 | Emilie Shuler | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1578174637 | Sybil Irene Stambaugh | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1831700954 | Joseph Magnusson Jr. | Recreation Therapist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-08-12 |
| 1275150559 | Alexa Nicole Spennato | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-02 |
| 1871110312 | Evan Cauterucci | Dentist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332421 | Kevin G Scott | Spec/Tech, Cardiovascular | 639a S Washington Ave, Lebanon, MO 65536-3618 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349720 | Alexander Razumovsky | Spec/Tech, Cardiovascular | 2075 Greenbriar Rd, York, PA 17404-9132 | 2020-05-29 |
| 1194345595 | Lauren Gaita | Spec/Tech, Cardiovascular | 54 Cardox Rd, Finleyville, PA 15332-9608 | 2020-04-26 |
| 1376094524 | Lise Fishman | Spec/Tech, Cardiovascular | 641 W Wiltshire Dr, Wallingford, PA 19086-6905 | 2016-10-21 |
| 1134522410 | Tk Diagnostic LLC | Spec/Tech, Cardiovascular | 51 Raymaley Rd, Harrison City, PA 15636 | 2014-10-01 |
| 1336305218 | Tom Gradowski Jr. | Spec/Tech, Cardiovascular | 2103 E Darby Rd, Havertown, PA 19083-2409 | 2008-07-31 |
| 1437377991 | Rr Pace Maker Evaluation Clinic | Spec/Tech, Cardiovascular | 225 S River St, Plains, PA 18705-1123 | 2007-04-23 |
| 1346381852 | Sab Group Inc. | Spec/Tech, Cardiovascular | 55 Addis Dr, Churchville, PA 18966-1167 | 2007-02-08 |
| 1124169644 | Gideon M Roquiz | Spec/Tech, Cardiovascular | 5205 Coventry Dr, Erie, PA 16506-6107 | 2007-02-08 |
| 1649333618 | John Calvin Deitz | Spec/Tech, Cardiovascular | 1258 Old Jordan Rd, Holland, PA 18966-2607 | 2006-12-19 |
| 1346202561 | Cardiac Ultrasound, Inc | Spec/Tech, Cardiovascular | 631 Sanderson St, Throop, PA 18512-1255 | 2006-04-04 |
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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.