MR. JAMES ROGER HAGERMAN PA NPI 1508807785

NPI Information

NPI: 1508807785
Provider Name: MR. JAMES ROGER HAGERMAN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1301 PLEASANT VALLEY RD
SUITE 202
OWENSBORO, KY
ZIP 42303
Phone: (270) 417-7500
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MR. James Roger Hagerman, PA is a medical physician assistant in Owensboro, KY with 26 years of experience. MR. James Roger Hagerman, PA NPI is 1508807785. 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:

1301 PLEASANT VALLEY RD
SUITE 202
OWENSBORO, KY
ZIP 42303-774
Phone: (270) 417-7500
Fax: (270) 417-7509

The NPI 1508807785 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 6/9/2006 and was last updated on 11/21/2014.

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	363A00000X	Physician Assistant		PA453	KENTUCKY	No
2	363AM0700X	Physician Assistant	Medical	PA453	KENTUCKY	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	11621267	OTHER	KENTUCKY	CAQH
2	K004910	MEDICARE PIN	KENTUCKY
3	D92419	MEDICARE UPIN
4	000000491613	OTHER		ANTHEM
5	0702602	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
6	363AM0700X	OTHER	KENTUCKY	TAXONOMY

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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