TAMARA S HAGEN


Address: 811 Potawatomi Dr, Madison, WI 53718
Phone: 6082160301

TAMARA S HAGEN (NPI# 1861469470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861469470
Entity Type Individual
Full Name TAMARA S HAGEN
Credential MD
Practice Address 811 Potawatomi Dr
Madison
WI 53718
Mailing Address 811 Potawatomi Dr
Madison
WI 53718-3245
Practice Telephone 6082160301
Mailing Telephone 6082160301
Enumeration Date 2006-03-02
Last Update Date 2019-02-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
26094 WI Allopathic & Osteopathic Physicians
N 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
26094 WI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
202 S Park St, Madison, WI 53715 6082675970 6084175966

Office Location

Street Address 811 POTAWATOMI DR
City MADISON
State WI
Zip Code 53718

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1831583145 Madison Rehabilitation Hospital, LLC Rehabilitation Hospital 5115 N Biltmore Ln, Madison, WI 53718 2015-03-25
1972919959 Hannah E Kussler Physician Assistant The American Center, 4602 Eastpark Blvd, Madison, WI 53718 2014-07-10
1104187079 Kaitlin Hellenbrand Occupational Therapist 5249 East Terrace Drive, Madison, WI 53718 2012-06-06
1003172800 Wisconsin Hyperbaric Oxygen LLC Clinic/Center 4660 S Biltmore Lane, Madison, WI 53718 2012-04-05
1801022850 Justin Robert Bangert Marriage & Family Therapist 5310 Wall St., Ste #500, Madison, WI 53718 2009-06-04
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1003060658 Candace Leigh Pantoga Occupational Therapist 3030 City View Drive, City View Nursing Home, Madison, WI 53718 2008-11-10
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215414727 Telemedico Physicians of Wisconsin Sc Internal Medicine 301 S Bedford St Ste 1, Madison, WI 53703-3691 2018-07-26
1932489291 Proactive Cardiology LLC Internal Medicine 2614 Hubbard Rd, Madison, OH 44057-2530 2011-08-18
1265730865 Richard Glenn Hutchinson Internal Medicine 337 Long Cove Dr, Madison, MS 39110-9113 2011-03-05
1073844932 James Harry Thomsen Internal Medicine 7709 Twinflower Dr, Madison, WI 53719-4544 2010-01-15
1194998955 Manoochehr Meshginpoosh Internal Medicine 5856 Chapel Rd, Madison, OH 44057-1754 2008-04-11
1083893606 Kornelia Keszler, Md, PC Internal Medicine 1-b Meigswood Ave, Madison, CT 06443 2007-10-31
1821002833 Alfred E Hutcheson Internal Medicine 794 Highway 51, Suite D, Madison, MS 39110-9662 2006-07-27
1396701553 Zilin Wang Internal Medicine 100 Whisper Lake Blvd, Madison, MS 39110-7881 2006-04-25
1396713368 Bonnie Lynn Hiatt Internal Medicine 27 Indigo Trl, Madison, CT 06443-1960 2006-03-08
1619944238 Douglas B Chapman Internal Medicine 4602 Eastpark Blvd, Madison, WI 53718-2002 2006-03-02
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City MADISON
Zip Code 53718

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Dataset Information

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.

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