JOHN HAGAN CRNP NPI 1740489970

NPI Information

NPI: 1740489970
Provider Name: JOHN HAGAN, CRNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
827 LINDEN AVE
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-8141
Get Directions

John Hagan, CRNP is a critical care medicine nurse practitioner in Baltimore, MD with 19 years of experience. John Hagan, CRNP NPI is 1740489970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

827 LINDEN AVE
BALTIMORE, MD
ZIP 21201-606
Phone: (410) 328-8141
Fax: (410) 328-0177

The NPI 1740489970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 5/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	R079848	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	419031900	MEDICAID	MARYLAND
2	S062-0376	OTHER	MARYLAND	BLUE CROSS REGIONAL
3	960548-01 & 02	OTHER	MARYLAND	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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