JOHN HAGAN (NPI# 1851480354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851480354 |
| Entity Type | Individual |
| Full Name | JOHN HAGAN |
| Credential | C.R.N.A. |
| Practice Address |
1501 E Mockingbird Ln Ste 220 Victoria TX 77904-2194 |
| Practice Telephone | 3615732481 |
| Practice Fax Number | 3615762434 |
| Mailing Telephone | 3615732481 |
| Mailing Fax Number | 3615762434 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 586524 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CHAMPUS | 742710179A017 | 01 |
| TX | BLUE CROSS | 88797C | 01 |
| TX | WORKERS COMP | CR35297 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371220 | John Hagan | Pharmacist | 380 S Fairview Ave, Elmhurst, IL 60126-3711 | 2017-12-04 |
| 1548790165 | John Gerald Hagan Iv | Family Medicine | 16001 W. Nine Mile Road, Southfield, MI 48075 | 2017-06-15 |
| 1295167997 | John Hagan | Physical Therapist | 740 Marne Hwy, Ste 203, Moorestown, NJ 08057-3127 | 2013-08-05 |
| 1740489970 | John Hagan | Nurse Practitioner | 827 Linden Ave, Baltimore, MD 21201-4606 | 2007-07-17 |
| 1598819856 | John J Hagan | Internal Medicine | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
| 1194749093 | John Stephens Hagan | Pharmacist | 511 Memorial Blvd, Springfield, TN 37172-2905 | 2006-07-26 |
| 1366429573 | John B Hagan | Allergy & Immunology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-29 |
| 1922091297 | John Charles Hagan IIi | Ophthalmology | 9401 N Oak Trfy, Ste 200, Kansas City, MO 64155-2233 | 2005-08-23 |
| Street Address |
1501 E MOCKINGBIRD LN STE 220 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417275363 | Matthew David Phillips | Anesthesiology | 1501 E Mockingbird Ln Ste 220, Victoria Anesthesiology Associates, Victoria, TX 77904-2194 | 2010-05-16 |
| 1316037229 | Daniel Schlichting | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 220, Victoria, TX 77904-2194 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770654006 | Gregory Scott Marchetti | Nurse Anesthetist, Certified Registered | 8799 Ridge Ponds Cir, Victoria, MN 55386-9554 | 2006-11-10 |
| 1356888325 | Danielle Burns | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 101, Victoria, TX 77904-2178 | 2017-01-27 |
| 1831588326 | Sarah E Mueller | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 101, Victoria, TX 77904 | 2015-01-21 |
| 1538594916 | Natalie Dawn Chilton | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Lane, #220, Victoria, TX 77904-2194 | 2013-09-04 |
| 1881991339 | Jide Omosewo | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, Suite 101, Victoria, TX 77904-2155 | 2011-02-18 |
| 1679803803 | Leonard Paul Linke Jr. | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2010-01-11 |
| 1912140641 | Grant E Vanmeter | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #220, Victoria, TX 77904 | 2009-04-10 |
| 1285882712 | Victoria Metro Anesthesia | Nurse Anesthetist, Certified Registered | 6242 N Navarro St, Victoria, TX 77904-1705 | 2008-09-09 |
| 1265522130 | Ralph Smith | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2006-10-13 |
| 1316037229 | Daniel Schlichting | Nurse Anesthetist, Certified Registered | 1501 E Mockingbird Ln Ste 220, Victoria, TX 77904-2194 | 2006-10-13 |
| Find all providers in VICTORIA | ||||
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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.