NATHAN B HAGEN MD NPI 1518049931

NPI Information

NPI: 1518049931
Provider Name: NATHAN B HAGEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
115 SOUTH ST
MICHIGAN COMMUNITY MEDICAL CLINIC
MICHIGAN, ND
ZIP 58259
Phone: (701) 259-2119
Get Directions

Nathan B Hagen, MD is a family medicine in Michigan, ND. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Nathan B Hagen, MD NPI is 1518049931. 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:

115 SOUTH ST
MICHIGAN COMMUNITY MEDICAL CLINIC
MICHIGAN, ND
ZIP 58259-290
Phone: (701) 259-2119
Fax: (701) 259-2319

The NPI 1518049931 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 10/19/2006 and was last updated on 10/29/2007.

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	208D00000X	General Practice		3113	NORTH DAKOTA	No
2	207Q00000X	Family Medicine		3113	NORTH DAKOTA	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	977	MEDICARE ID-TYPE UNSPECIFIED
2	33401	OTHER		REFERRING
3	977	MEDICARE UPIN
4	N977	MEDICARE UPIN	NORTH DAKOTA
5	11257	MEDICAID	NORTH DAKOTA
6	N977	MEDICARE PIN	NORTH DAKOTA

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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