JEDD A HAGEN (NPI# 1831206234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831206234 |
| Entity Type | Individual |
| Full Name | JEDD A HAGEN |
| Credential | MD |
| Practice Address |
311 S Clark St Carroll IA 51401-3038 |
| Mailing Address |
Po Box 5126 Sioux Falls SD 57117-5126 |
| Practice Telephone | 7127928257 |
| Practice Fax Number | 7127928234 |
| Mailing Telephone | 6053351952 |
| Mailing Fax Number | 6053739971 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
30259 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0119636 | 05 | |
| IA | BCBS | 50190 | 01 |
| Street Address |
311 S CLARK ST |
| City | CARROLL |
| State | IA |
| Zip Code | 51401-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811835 | John M Longo | Radiology | 311 S Clark St, Carroll, IA 51401-3038 | 2005-09-19 |
| 1003466921 | Sandra M Cayler | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2019-09-12 |
| 1598327207 | St Anthony Regional Hospital and Nursing Home | Registered Nurse | 311 S Clark St, Carroll, IA 51401-3038 | 2019-07-02 |
| 1073171468 | Mikala Anne Landon | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2019-05-31 |
| 1548797285 | Debra Dieter | Registered Nurse | 311 S Clark St, Carroll, IA 51401-3038 | 2017-05-12 |
| 1740717487 | Krista Heuton | Dietitian, Registered | 311 S Clark St, Carroll, IA 51401-3038 | 2017-05-12 |
| 1023555638 | Cynthia Jean Johnson | Nurse Practitioner | 311 S Clark St, Carroll, IA 51401-3038 | 2017-01-22 |
| 1497135677 | Matthew Earl | Nurse Anesthetist, Certified Registered | 311 S Clark St, Carroll, IA 51401-3038 | 2015-06-03 |
| 1629460555 | St Anthony Regional Hospital and Nursing Home | Radiology | 311 S Clark St, Carroll, IA 51401-3038 | 2015-03-02 |
| 1790106367 | Des Moines Orthopaedic Surgeons PC | Durable Medical Equipment & Medical Supplies | 311 S Clark St, Ste 285, Carroll, IA 51401-3086 | 2013-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
| 1598397309 | Samantha Anne Ludwig | Pharmacist | 425 Highway 30 West, Suite 140, Carroll, IA 51401 | 2020-02-10 |
| 1265804082 | Katrina (tina) K Wederquist Zanders | Social Worker | 409 1/2 W 7th, Catholic Charities, Carroll, IA 51401 | 2015-10-21 |
| 1508127705 | Carly M. Quam | Family Medicine | 1241 S Grant Road, Carroll, IA 51401 | 2012-06-04 |
| 1033492517 | Daniel Michael G'sell | Pharmacist | 1214 S. Grant Rd., Carroll, IA 51401 | 2011-09-21 |
| 1356510317 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2014 Kitty Hawk Ave, Carroll, IA 51401 | 2008-02-25 |
| 1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
| 1093994261 | Janelle Rae Brungardt | Occupational Therapy Assistant | 2241 Northwest Street, Carroll, IA 51401 | 2007-10-24 |
| 1871780197 | Assisted Living Concepts Inc | Assisted Living Facility | 1024 E 12th Street, Carroll, IA 51401 | 2007-10-01 |
| 1487865267 | Tthomas Charles Lehman | Pharmacist | 859 Highway 30 E, Carroll, IA 51401 | 2007-05-24 |
| Find all providers in zip 51401 | ||||
| Taxonomy Code | 207ZM0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Medical Microbiology |
| A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861750424 | Harry Stephens Porterfield | Pathology | 200 Hawkins Dr, Dept of Pathology, Iowa City, IA 52242-1009 | 2012-05-01 |
| 1942490156 | Bradley Ford | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-07-25 |
| 1477576692 | Thomas Edward Dittmer | Pathology | 1600 Morgan St, Keokuk, IA 52632-3456 | 2006-07-26 |
| 1528056322 | Sandra S Richter | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-06 |
| 1164410965 | Thomas H Haugen | Pathology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-06 |
Please comment or provide details below to improve the information on JEDD A HAGEN.
| 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.