Steven J Hagen (NPI# 1184619710, PAC ID# 3678564192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1184619710 |
| PAC ID by PECOS | 3678564192 |
| Professional Enrollment ID | I20040521001045 |
| Full Name | Steven J Hagen |
| Organization Legal Name | PRIMARY CARE ASSOCIATES OF APPLETON, LTD |
| Address |
3916 N Intertech Court Appleton WI 54913-6956 |
| Phone Number | 9209961000 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1052348612 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 3916 N Intertech Court, Appleton, WI 54913-6956 | 9209961000 | PRIMARY CARE ASSOCIATES OF APPLETON, LTD |
| Organization Legal Name | PRIMARY CARE ASSOCIATES OF APPLETON, LTD |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Rockweiler | Physician Assistant | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Merici A Awe | Family Medicine | Primary Care Associates of Appleton, Ltd | 59 Park Pl, Suite 100, Appleton, WI 54914-8230 |
| Stephen C Fuller | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Samuel Heiks | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Stephen R Dernlan | Internal Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Edward J Szabo | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Travis L Kroner | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Scott Gyorog | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Douglas R Meyer | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Amy H Servais | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Street Address |
3916 N INTERTECH COURT |
| City | APPLETON |
| State | WI |
| Zip | 54913-6956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Hagen | Family Practice | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Judith M Anderson | Nurse Practitioner | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Court, Appleton, WI 54913-6956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent R Weed | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Peter J Katz | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Marcella K Teske | Nurse Practitioner | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Michelle D Lewis | Dermatology | Forefront Dermatology Sc | 3935 N Lightning Dr, Appleton, WI 54913-6717 |
| Noam Littman | Diagnostic Radiology | Synergy Radiology Associates Pllc | 4528 N Grassmere Ct, Appleton, WI 54913-6809 |
| Rachel Rockweiler | Physician Assistant | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Stephen C Fuller | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Samuel Heiks | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Stephen R Dernlan | Internal Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Edward J Szabo | Family Medicine | Primary Care Associates of Appleton, Ltd | 3916 N Intertech Ct, Appleton, WI 54913-6957 |
| Find all physicians in zip 54913 | |||
| City | APPLETON |
| Zip Code | 54913 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | APPLETON + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.